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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 5
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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(f) of the Investment Company Act of 1940
[ ] Check this box if no longer subject of Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
[ ] Form 3 Holdings Reported
[ ] Form 4 Transactions Reported
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1. Name and Address of Reporting Person*
Moufflet Gerard
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(Last) (First) (Middle)
150 Motor Parkway
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(Street)
Hauppauge New York 11788
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Curative Health Services, Inc. (Cure)
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Statement for Month/Year
December 2000
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[ X ] Director [ ] 10% Owner
[ ] Officer (give title below) [ ] Other (specify below)
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7. 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 Acquired, Disposed of,
or Beneficially Owned
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5. 6.
4. Amount of Owner-
Securities Acquired (A) or Securities ship
Disposed of (D) Beneficially Form: 7.
(Instr. 3, 4 and 5) Owned at End Direct Nature of
2. 3. ----------------------------- of Issuer's (D) or Indirect
1. Transaction Transaction (A) Fiscal Year Indirect Beneficial
Title of Security Date Code Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) (Instr. 8) (D) & 4) (Instr.4) (Instr. 4)
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* If the form is filed by more than one Reporting Person, see Instruction
4(b)(v).
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
Page 1 of 2
FORM 5 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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9. 10.
Number Owner-
of ship
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
or Derivative 6. of Underlying 8. ities Secur- of
Exer- Securities Date Securities Price Bene- ity: In-
cise 3. Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- 4. or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Trans- of (D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date action (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ Code 4 and 5) Date Expira- Number ity Year (I) ship
Security Secur- Day/ (Instr. ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) 8) (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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Incentive Stock 13.25 5/31/00 J (1) 5,000 (1) (1) Common Stk 5,000 13.25
Options
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Incentive Stock 24.875 5/31/00 J (1) 5,000 (1) (1) Common Stk 5,000 24.875
Options
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Incentive Stock 27.25 5/31/00 J (1) 5,000 (1) (1) Common Stk 5,000 27.25
Options
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Incentive Stock 27.50 5/31/00 J (1) 5,000 (1) (1) Common Stk 5,000 27.50
Options
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Incentive Stock 5.406 5/31/00 A (1) 7,040 (2)(1) 5/31/10 Common Stk 7,040 5.406
Options
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Incentive Stock 5.406 5/31/00 A 24,000 (2) 5/31/10 Common Stk 24,000 5.406
Options
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Incentive Stock 5.563 12/22/00 A 35,000 (3) 12/22/10 Common Stk 35,000 5.563 71,040 D
Options
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Explanation of Responses: (1) In accordance to the amendment of the
Non-Employee Director Stock Option Plan dated May 31, 2000, all current
Non-Employee Director's have the right to surrender on or before June 15,2000,
options held with an exercise price exceeding $10 per share. As to options with
an exercise price of $20 or more per share, director may exchange a maximum of
15,000 option shares and receive in exchange an option for one-third the number
of option shares surrendered. As to options with an exercise price of $10 per
share, but less than $20 per share, director may exchange a maximum of 15,000
option shares and receive in exchange that number of shares equal to the product
of (i) the number of option shares surrendered times (ii) the ratio of the
closing price of the Common Stock on May 31, 2000 to the original exercise price
of the option shares surrendered.
(2) Incentive Stock Option granted pursuant to Curative Technologies, Inc. 1995
Non-Employee Director Stock Option Plan. Options shall become exercisable with
respect to one third of the shares on the first day of the month following the
one year anniversary and thereafter shall become exercisable with respect to the
balance of the shares in equal monthly installments on the last date of each of
the eight successive (3) month periods following the exercisability date.
(3)Incentive Stock Option granted pursuant to Curative
Health Services, Inc. 2000 Stock Incentive Plan. Options shall become
exercisable with respect to one third of the shares on the first day of the
month following the one year anniversary and thereafter shall become exercisable
with respect to the balance of the shares in equal monthly installments on the
last date of each of the eight successive (3) month periods following the
exercisability date.
/s/ John C. Prior February 09, 2001
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John C. Prior, (Attorney In Fact) Date
**Signature of Reporting Person
** Intentional misstatements or omissions of facts constitute Federal 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.
Alternatively, this Form is permitted to be submitted to the Commission in
electronic format at the option of the reporting person pursuant to Rule
101(b)(4) of Regulation S-T.
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