- -------- U.S. SECURITIES AND EXCHANGE COMMISSION ----------------------------- FORM 3 WASHINGTON, D.C. 20549 OMB APPROVAL - -------- ----------------------------- INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES OMB NUMBER: 3235-0104 EXPIRES: APRIL 30, 1997 Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, ESTIMATED AVERAGE BURDEN Section 17(a) of the Public Utility Holding Company Act of 1935 or HOURS PER RESPONSE .... 0.5 Section 30(f) of the Investment Company Act of 1940 ----------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person 2. Date of Event Re- 4. Issuer Name and Ticker or Trading Symbol quiring Statement Lee Linda D (Month/Day/Year) Stericycle, Inc. (SRCL) - ------------------------------------------------- ------------------------------------------------------------ (Last) (First) (Middle) 8/22/96 5. Relationship of Reporting Person 6. If Amendment, Date ----------------------- to Issuer (Check all applicable) of Original 303 Hobble Bush Lane 3. IRS or Social Se- Director 10% Owner (Month/Day/Year) - ------------------------------------------------- curity Number of ---- ---- (Street) Reporting Person X Officer (give Other (Voluntary) ----title below) ----(specify below) Vice President, Regulatory Affairs and Quality Assurance Vernon Hills, IL 60061 ###-##-#### ----------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip) TABLE I -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial (Instr. 4) Beneficially Owned Form: Direct Ownership (Instr. 5) (Instr. 4) (D) or Indirect (I) (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 29,815 D - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) (Print or Type Responses) SEC 1473 (8-92)
FORM 3 (CONTINUED) TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative Security 2. Date Exer- 3. Title and Amount of Securities 4. Conver- 5. Owner- 6. Nature of Indirect (Instr. 4) cisable and Underlying Derivative Security sion or ship Beneficial Expiration (Instr. 4) Exercise Form of Ownership Date Price of Deriv- (Instr. 5) (Month/Day/ Deri- ative Year) vative Security: -------------------------------------------------- Security Direct Amount (D) or Date Expir- or Indirect Exer- ation Title Number (I) cisable Date of Shares (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ Employee Stock Option 1 11/1/05 Common Stock 4,311 $.53 D - ------------------------------------------------------------------------------------------------------------------------------------ (right to buy) - ------------------------------------------------------------------------------------------------------------------------------------ Employee Stock Option 2 1/29/06 Common Stock 863 $.53 D - ------------------------------------------------------------------------------------------------------------------------------------ (right to buy) - ------------------------------------------------------------------------------------------------------------------------------------ Employee Stock Option 3 4/30/06 Common Stock 3,014 $.53 D - ------------------------------------------------------------------------------------------------------------------------------------ (right to buy) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: s/Linda D. Lee 8/22/96 ------------------------------------- ---------------------- **Intentional misstatements or omissions of facts constitute Federal **Signature of Reporting Person Date Criminal Violations. SEE 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, SEE Instruction 6 for procedure. 1. 11,376.55 of these options were immediately exercisable; the balance became or will become exercisable at the rate of 1,437.07 shares on the first day of each month beginning on September 1, 1996 and ending on November 1, 1996. 2. 172.67 of those options became or will become exercisable on the first day of each month beginning on September 1, 1996 and ending on January 1, 1997. 3. 1/4 of these options become exercisable on April 30, 1997 and the remaining balance become exercisable at the rate of 1/48 of the total option shares per month beginning on May 30, 1997 and ending on April 30, 2000. Page 2 SEC 1473 (8-92)