ROSS LOU 4

4 · NATIONAL SCIENTIFIC CORP/AZ · Filed Oct 2, 2003

Form 4Exit

Period: 2003-09-30

Other

Transactions

Other
NSCT Stock Options
[F1]
2003-09-30−75,000→ 0 total
Exercise: $1.00From: 2001-12-01Exp: 2011-12-01→ Common Stock (75,000 underlying)
Other
NSCT Stock Options
[F1]
2003-09-30−75,000→ 0 total
Exercise: $2.00From: 2001-12-01Exp: 2011-12-01→ Common Stock (75,000 underlying)
Other
NSCT Stock Options
[F1]
2003-09-30−75,000→ 0 total
Exercise: $3.00From: 2001-12-01Exp: 2011-12-01→ Common Stock (75,000 underlying)
Other
NSCT Stock Options
[F1]
2003-09-30−75,000→ 0 total
Exercise: $4.00From: 2001-12-01Exp: 2011-12-01→ Common Stock (75,000 underlying)
Other
NSCT Stock Options
[F1]
2003-09-30−75,000→ 0 total
Exercise: $5.00From: 2001-12-01Exp: 2011-12-01→ Common Stock (75,000 underlying)
Other
NSCT Stock Options
[F1]
2003-09-30−75,000→ 0 total
Exercise: $6.00From: 2001-12-01Exp: 2011-12-01→ Common Stock (75,000 underlying)
Other
NSCT Stock Options
[F1]
2003-09-30−75,000→ 0 total
Exercise: $7.00From: 2001-12-01Exp: 2011-12-01→ Common Stock (75,000 underlying)
Other
NSCT Stock Options
[F1]
2003-09-30−75,000→ 0 total
Exercise: $8.00From: 2001-12-01Exp: 2011-12-01→ Common Stock (75,000 underlying)
Other
NSCT Stock Options
[F1]
2003-09-30−75,000→ 0 total
Exercise: $9.00From: 2001-12-01Exp: 2011-12-01→ Common Stock (75,000 underlying)
Other
NSCT Stock Options
[F1]
2003-09-30−75,000→ 0 total
Exercise: $10.00From: 2001-12-01Exp: 2011-12-01→ Common Stock (75,000 underlying)

Footnotes (1)

[F1]These option agreements were forfeited on September 30, 2003, as per terms of the NSC 2000 option plan, and as per previous employment and other agreements with Mr. Ross to surrender them on or before his departure from the NSC board on September 30, 2003. A total of 750,000 options were returned to the company by this transaction.

Signature

Lou L. Ross|2003-10-02

Documents

1 file