CLARK JEFFREY G 4

4 · CLOSURE MEDICAL CORP · Filed Dec 4, 2003

Form 4

Period: 2003-12-03

VP of Research and Development

Transactions

Sale
Common Stock
2003-12-03$36.33/sh−4,000$145,304→ 401,554 total
Exercise/Conversion
Common Stock
2003-12-03$14.91/sh+4,000$59,640→ 405,554 total
Exercise/Conversion
Common Stock
2003-12-03$19.88/sh+20,000$397,500→ 421,554 total
Sale
Common Stock
2003-12-03$36.33/sh−20,000$726,520→ 401,554 total
Exercise/Conversion
Employee Stock Option- right to buy Common Stock
2003-12-03−20,000→ 10,000 total
Exercise: $19.88From: 2001-09-11Exp: 2010-09-11→ Common Stock (20,000 underlying)
Exercise/Conversion
Employee Stock Option- right to buy Common Stock
2003-12-03−4,000→ 16,000 total
Exercise: $14.91From: 2003-06-18Exp: 2012-06-18→ Common Stock (4,000 underlying)

Footnotes (4)

[F1]Not applicable because the derivative security is a grant under the Company's stock option plan.
[F2]Includes 69,000 shares owned by Mr. Clark's spouse.
[F3]The Employee Stock Option will vest in three equal installments when each of three, increasing stock market prices are achieved. In any event, the Options will vest in five equal installments beginning on the first anniversary of the date of the grant.
[F4]The Employee Stock Option vests and becomes exercisable in five equal installments beginning on the first anniversary of the date of the grant.

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