Tomotherapy Inc - Amended Statement of Beneficial Ownership
October 29 2007 - 10:49AM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
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3235-0104
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January 31, 2008
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Guse Shawn D
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2. Date of Event Requiring Statement (MM/DD/YYYY)
5/8/2007
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3. Issuer Name
and
Ticker or Trading Symbol
TomoTherapy Inc [TTPY]
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(Last)
(First)
(Middle)
1240 DEMING WAY
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
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X
___ Officer (give title below)
_____ Other (specify below)
VP, Secretary & Gen. Counsel /
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(Street)
MADISON, WI 53717
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
5/8/2007
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Employee Stock Option (right to buy)
(1)
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5/8/2007
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7/25/2015
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Common Stock
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108800
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$3.46
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D
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Employee Stock Option (right to buy)
(2)
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5/8/2007
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11/17/2011
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Common Stock
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48139
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$3.46
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D
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Employee Stock Option (right to buy)
(3)
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5/8/2007
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11/17/2011
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Common Stock
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6941
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$3.46
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D
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Employee Stock Option (right to buy)
(4)
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5/8/2007
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12/7/2012
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Common Stock
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66786
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$6.75
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D
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Employee Stock Option (right to buy)
(5)
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5/8/2007
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12/7/2012
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Common Stock
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14814
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$6.75
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D
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Explanation of Responses:
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(
1)
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Options vest over a four-year period, with 27,200 option shares currently vested, 27,200 option shares vesting on 7/25/07, 27,200 option shares vesting on 7/25/08 and 27,200 option shares vesting on 7/25/09.
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(
2)
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Options vest over a four-year period, with 12,034 option shares currently vested, 12,035 option shares vesting on 11/17/07, 12,035 option shares vesting on 11/17/08 and 12,035 option shares vesting on 11/17/09.
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(
3)
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Options vest over a four-year period, with 1,735 option shares currently vested, 1,735 option shares vesting on 11/17/07, 1,735 option shares vesting on 11/17/08 and 1,736 option shares vesting on 11/17/09.
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(
4)
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Options vest over a four-year period, with 40,800 option shares vesting on 12/7/08, 20,400 option shares vesting on 12/7/09 and 5,586 option shares vesting on 12/7/10.
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(
5)
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14,814 option shares vest on 12/7/10.
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Remarks:
No non-derivative securities are beneficially owned.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Guse Shawn D
1240 DEMING WAY
MADISON, WI 53717
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VP, Secretary & Gen. Counsel
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Signatures
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/s/ Shawn D. Guse
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10/29/2007
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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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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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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