SEC FORM 5 SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Estimated average burden
hours per response: 1.0
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
Form 3 Holdings Reported.
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
NIDA TERRY

(Last) (First) (Middle)

(Street)

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
VIVUS INC [ VVUS ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP, Worldwide Marketing/
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Stock 10/31/2003 J 2,840 A $3.1705 48,330 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Incentive Stock Option (right to buy) $2.6875 (1) 12/09/2008 Common Stock 52,500 52,500 D
Incentive Stock Option (right to buy) $2.9375 (2) 12/01/2005 Common Stock 33,680 33,680 D
Incentive Stock Option (right to buy) $2.9375 (2) 12/11/2006 Common Stock 5,970 5,970 D
Incentive Stock Option (right to buy) $2.9375 (2) 12/08/2007 Common Stock 4,624 4,624 D
Incentive Stock Option (right to buy) $4 (3) 01/20/2013 Common Stock 16,265 16,265 D
Incentive Stock Option (right to buy) $4.8438 (3) 01/19/2010 Common Stock 28,788 28,788 D
Incentive Stock Option (right to buy) $8.08 (3) 01/21/2012 Common Stock 16,606 16,606 D
Non-Qualified Stock Option (right to buy) $2.9375 (2) 12/01/2005 Common Stock 13,195 13,195 D
Non-Qualified Stock Option (right to buy) $2.9375 (2) 12/11/2006 Common Stock 24,030 24,030 D
Non-Qualified Stock Option (right to buy) $2.9375 (2) 12/08/2007 Common Stock 21,626 21,626 D
Non-Qualified Stock Option (right to buy) $4 (3) 01/20/2013 Common Stock 10,385 10,385 D
Non-Qualified Stock Option (right to buy) $4.4063 (2) 11/29/2005 Common Stock 103,125 103,125 D
Non-Qualified Stock Option (right to buy) $4.8438 (3) 01/19/2010 Common Stock 6,212 6,212 D
Non-Qualified Stock Option (right to buy) $8.08 (3) 01/21/2012 Common Stock 9,644 9,644 D
Explanation of Responses:
1. Twenty-five percent (25%) of the total number of shares become exercisable on the anniversary of this grant, and one forty-eighth (1/48th) of the total number of shares become exercisable at the end of each full month thereafter.
2. On October 19, 1998, VIVUS, Inc. repriced certain of its outstanding options to purchase its Common Stock. The reported transaction reports the grant of the repriced option (the "Repriced Option") upon cancellation of the original option (the "Original Option"). Twenty-five percent (25%) of the shares subject to the Original Option become exercisable on the first anniversary of the date of grant and one forty-eighth (1/48th) of such shares became exercisable each month thereafter. The Repriced Option is subject to the same vesting schedule as the Original Option; provided, however, the Repriced Option cannot be exercised in the first six months following the date of repricing.
3. There is no exercisable date. This is an option grant.
By: /s/ Linda Derboghosian For: Terry Nida 02/13/2004
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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