SCHEDULE 14A
SCHEDULE 14A INFORMATION
Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934
(Amendment No. )
Filed by the Registrant [X]
Filed by a Party other than the Registrant [ ]
Check the appropriate box:
[ ] Preliminary Proxy Statement
[ ] Confidential, for Use of the Commission Only
(as permitted by Rule 14a-6(e)(2))
[X] Definitive Proxy Statement
[ ] Definitive Additional Materials
[ ] Soliciting Material Pursuant to Section 240.14a-11(c) or Section 240.14a-12
Image Guided Technology, Inc.
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(Name of Registrant as Specified In Its Charter)
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paid previously. Identify the previous filing by registration statement
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IMAGE GUIDED TECHNOLOGIES, INC.
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NOTICE OF ANNUAL MEETING OF SHAREHOLDERS
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TO BE HELD APRIL 24, 1997
The Annual Meeting of Shareholders of Image Guided Technologies, Inc. (the
"Company") will be held at 5710-B Flatiron Parkway, Boulder, Colorado, on
April 24, 1997, at 10:00 a.m. local time for the following purposes:
1. To elect a board of directors to serve until the next Annual Meeting
of Shareholders and until their successors are elected and qualified.
2. To approve the Company's 1997 Stock Option Plan.
3. To ratify the selection of Price Waterhouse LLP, independent public
accountants, as auditors for the Company for the fiscal year ending
December 31, 1997.
4. To transact such other business as may properly come before the
meeting or any adjournment thereof.
Shareholders of record at the close of business on March 17, 1997, will
be entitled to vote at the meeting, and any adjournments thereof. A list of
all shareholders entitled to vote at the Annual Meeting will be open to
inspection by any shareholder at the Company's offices during the period
beginning two business days after notice of the meeting is given and
continuing through the meeting.
Shares can be voted at the meeting only if the holder is present or
represented by proxy. Even if you plan to attend the meeting, you are urged
to date and sign the enclosed proxy and return it promptly in the
accompanying envelope so that the presence of a quorum will be assured. The
giving of a proxy does not affect your right to vote in person if you attend
the meeting.
By Order of the Board of Directors,
Waldean A. Schulz, Ph.D.,
Secretary
March 18, 1997
IMAGE GUIDED TECHNOLOGIES, INC.
5710-B FLATIRON PARKWAY
BOULDER, COLORADO 80301
PROXY STATEMENT
ANNUAL MEETING OF SHAREHOLDERS TO BE HELD ON APRIL 24, 1997
This statement is furnished in connection with the solicitation of
proxies by the Board of Directors of Image Guided Technologies, Inc. (the
"Company") from holders of the outstanding shares of the Company's Common
Stock entitled to vote at the Annual Meeting of Shareholders (and any
adjournment thereof). This proxy statement and enclosed proxy are first
being mailed to shareholders on or about March 18, 1997. A copy of the
Company's Annual Report for 1996 on Form 10-KSB is being mailed to all
shareholders with this proxy statement. The Annual Report is not to be
regarded as proxy soliciting material or as a communication by means of which
any solicitation is to be made.
The Company's Board has fixed the close of business on March 17, 1997,
as the record date for the determination of shareholders entitled to notice
of, and to vote at, the meeting. On that date, there were outstanding and
entitled to vote 3,106,024 shares of Common Stock. Holders of Common Stock
are entitled to one vote for each share held of record on the record date
with respect to matters on which the holder is entitled to vote.
The presence, in person or by proxy, of a majority of the outstanding
shares of Common Stock as of the record date constitutes a quorum and is
required in order for the Company to conduct business at the Annual Meeting.
The majority being present, the election of each nominee for Director
requires a plurality of the votes cast and the affirmative vote of the
holders of a majority of the shares of Common Stock represented in person or
by proxy at the Annual Meeting is required to approve or ratify the other
proposals described below. Abstentions and broker non-votes are counted
towards a quorum. Abstentions are counted in the tabulations of the votes
cast, but broker non-votes on any proposal are not considered to be
represented at the meeting as to such proposal and therefore are not counted
for purposes of determining whether a proposal has been approved.
1. ELECTION OF DIRECTORS
Pursuant to the Company's Bylaws, the Board has fixed the number of
directors at seven. The Directors are to be elected by the holders of the
Company's Common Stock, to serve until the next Annual Meeting and until
their successors are elected and qualified. Unless instructions to the
contrary are received, proxies received in response to this solicitation will
be voted in favor of the nominees listed below. If any nominee should become
unavailable for election, the shares represented by the enclosed proxy will
be voted for such substitute nominee as may be proposed by the Board.
Information regarding nominees for election as directors is set forth below.
Principal Occupation and
Name & Age of Nominee Position(s) With the Company Director Since
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Paul L. Ray, 50 Chief Executive Officer and Chairman of the Company since 1992
January 1994; President of the Company from January 1994
through November 1995; Managing Partner and Director of
Paradigm Partners, LLC, a venture investment firm, from 1992
to January 1995.
Waldean A. Schulz, Ph.D., 51 Vice President, Technology and Secretary of the Company since 1990
1990; Founder of the Company and President from inception
until December, 1990.
Ray L. Hauser, Ph.D., 69 Co-founder, senior scientist and director of Hauser, Inc., 1991
manufacturer of high value natural products and extracts.
Clifford F. Frith, 51 Chief Operating Officer/General Manager of Laboratory and 1994
Specialty Products Group, a fluid separations and control
company which is a division of Osmonics, Inc.; Vice President
of American Business Advisors, Inc. from November 1993 until
January 1996; President and Director of Boulder Intertec,
Inc., a business management advising service, from June 1992
through December, 1996.
David G. Sengpiel, 45 Vice President of Equity Dynamics, Inc., a financial 1995
consulting firm, since March 1995; Equity Dynamics, Inc. is
owned by John Pappajohn, a principal shareholder of the
Company; Alternative investment manager with Farm Bureau Life
Insurance Company from 1993 to 1995; President of Vantage
Cable International, Inc. from 1990 to 1993. Mr. Sengpiel is
also a director of USTI, Inc. and Healthdesk, Inc.
Robert T. Hamilton, 54 President of Rexam Coated Film and Paper, a film and paper 1995
specialty coatings company; from mid-1995 to mid-1996,
President of Rexam Custom; Senior Vice President of Intrados
International Management Group, a consulting firm; Vice
President and Regional General Manager of Kodak Imaging, a
division of Eastman Kodak Company, from 1991 through 1995.
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Principal Occupation and
Name & Age of Nominee Position(s) With the Company Director Since
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William O'Connor, 54 Executive Vice President and Chief Operating Officer of Erbtec 1996
Engineering, Inc. since July 1995; from 1994 through May 1995,
Vice President of Sales and Marketing for Medical Graphics,
Inc.; from 1989 through July 1994, Senior Vice President of
Valley Lab, Inc. a subsidiary of Pfizer, Inc.
DIRECTOR COMPENSATION
Directors who are not employees of the Company are paid $1,000 for each
Board meeting physically attended plus $500 annually for each Committee on
which the director serves. Assuming the shareholders approve the 1997 Stock
Option Plan, each outside director will also be granted at the April 1997
Board meeting a nonqualified stock option for 3,000 shares of the Company's
Common Stock, exercisable at the then fair market value of the shares.
Directors are also reimbursed for expenses incurred in attending Board or
Committee meetings.
DIRECTOR MEETINGS AND ATTENDANCE DURING 1996
The Board of Directors met seven times during 1996. Each incumbent
director attended at least 75% of the aggregate of (1) the total number of
meetings of the Board of Directors and (2) the total number of meetings of
the Committees on which he served.
COMMITTEES OF THE BOARD OF DIRECTORS
COMPENSATION COMMITTEE. The Board of Directors has established a
Compensation Committee which consists of Messrs. Frith, Sengpiel and
Hamilton. The Compensation Committee recommends to the Board of Directors the
compensation to be paid to all officers of the Company and reviews general
policy relating to compensation and benefits of employees. The Committee met
four times during 1996.
AUDIT COMMITTEE. The Board of Directors has also established an Audit
Committee consisting of Dr. Hauser and Messrs. Hamilton and Sengpiel. Such
committee recommends the selection of the Company's independent public
accountants to the Board of Directors, evaluates the independent public
accountants, and consults with the independent public accountants as to the
Company's internal accounting controls. The Audit Committee makes
recommendations to the Board of Directors with respect to the foregoing and
brings to the attention of the Board any criticism and recommendations that
the independent accountants or the Audit Committee itself may suggest. The
Committee's first meeting was held on March 7, 1997.
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SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT
The following table sets forth certain information concerning the
beneficial ownership of the Company's Common Stock as of January 31, 1997, by
(i) each director and director-nominee, (ii) the Chief Executive Officer of
the Company, (iii) each shareholder known by the Company to own beneficially
five percent or more of the outstanding shares of Common Stock and (iv) all
executive officers and directors of the Company as a group.
NUMBER OF SHARES PERCENTAGE OF
OF COMMON STOCK OUTSTANDING COMMON
NAME AND ADDRESS OF BENEFICIALLY STOCK BENEFICIALLY
BENEFICIAL OWNER (1) OWNED(2) OWNED
-------------------- ---------------- -------------------
Paul L. Ray(3) . . . . . . . . . . . . . . 114,482 3.56%
Ray L. Hauser, Ph.D.(4). . . . . . . . . . 304,941 9.76%
Clifford F. Frith(5) . . . . . . . . . . . 19,487 *
David G. Sengpiel(6) . . . . . . . . . . . 12,287 *
Robert Hamilton(7) . . . . . . . . . . . . 52,287 1.67%
Waldean A. Schulz, Ph.D.(8). . . . . . . . 170,896 5.47%
William O'Connor . . . . . . . . . . . . . 0 *
Edgewater Private Equity Fund, L.P. . . . 413,845 13.32%
667 Grand Avenue, Suite 200
Des Moines, Iowa 50309
John Pappajohn . . . . . . . . . . . . . . 232,820 7.50%
2116 Financial Center
Des Moines, Iowa 50309
Mellon Bank(9) . . . . . . . . . . . . . . 321,000 10.33%
One Mellon Bank Center
Pittsburgh, PA 15258
Farm Bureau Life Insurance(10) . . . . . . 208,685 6.72%
5400 University Avenue
West Des Moines, Iowa 50266
All executive officers and . . . . . . . . 780,294 22.68%
directors as a group (9 persons)(11)
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*Less than one percent.
(1) Unless otherwise noted, the address for each beneficial owner is c/o the
Company, 5710-B Flatiron Parkway, Boulder, Colorado 80301.
(2) Except as otherwise noted, each individual or entity has sole voting and
investment power with respect to the shares listed. Beneficial ownership
is determined in accordance with the rules of the Securities and Exchange
Commission ("SEC") and generally includes voting or investment power with
respect to securities. In accordance with SEC rules, shares of the Common
Stock which may be acquired upon exercise of stock options which are
currently exercisable or which become exercisable within 60 days of January
31, 1997, are deemed beneficially owned by the optionee and each beneficial
owner's percentage ownership is determined by assuming that options or
warrants that are held by such person
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(but not those held by any other person) and which are exercisable within
60 days of January 31, 1997, have been exercised. Except as indicated
by footnote, and subject to community property laws where applicable,
the persons or entities named in the table above have sole voting and
investment power with respect to all shares of Common Stock shown as
beneficially owned by them.
(3) Includes 108,396 shares which Mr. Ray has a right to acquire upon exercise
of stock options currently exercisable or exercisable within 60 days of
January 31, 1997. Does not include (i) 5,318 shares of Common Stock held
by Paradigm Partners ("Paradigm"), a limited liability company of which Mr.
Ray is a member, but not a manager, (ii) 10,000 shares Paradigm has a right
to acquire upon exercise of stock options currently exercisable or
exercisable within 60 days of January 31, 1997, and (iii) 14,070 shares of
Common Stock held by Paradigm Capital Network, Ltd., a Colorado limited
partnership of which Paradigm is the general partner.
(4) Includes 19,221 shares of Common Stock Dr. Hauser has a right to acquire
upon exercise of stock options currently exercisable or exercisable within
60 days of January 31, 1997, and excludes 3,200 shares of Common Stock
owned by Dr. Hauser's wife of which Dr. Hauser disclaims beneficial
ownership.
(5) Includes 19,487 shares of Common Stock Mr. Frith has a right to acquire
upon exercise of stock options currently exercisable or exercisable within
60 days of January 31, 1997.
(6) Includes 12,287 shares of Common Stock Mr. Sengpiel has a right to acquire
upon exercise of stock options currently exercisable or exercisable within
60 days of January 31, 1997.
(7) Includes 12,287 shares of Common Stock Mr. Hamilton has a right to acquire
upon exercise of stock options currently exercisable or exercisable within
60 days of January 31, 1997, and 40,000 shares of Common Stock Mr. Hamilton
has a right to acquire upon exercise of Warrants which are currently
exercisable.
(8) Includes 18,347 shares of Common Stock Dr. Schulz has a right to acquire
upon exercise of stock options currently exercisable or exercisable within
60 days of January 31, 1997.
(9) Includes 286,000 shares of Common Stock beneficially owned by Mellon Bank
N.A. and Dreyfus Corporation.
(10) Includes 150,857 shares of Common Stock owned by FBL Ventures of South
Dakota, which is a wholly-owned subsidiary of Farm Bureau Life Insurance.
(11) Includes 294,025 shares of Common Stock issuable upon exercise of options
currently exercisable or exercisable within 60 days of January 31, 1997 and
40,000 shares of Common Stock issuable upon exercise of Warrants which are
currently exercisable.
EXECUTIVE COMPENSATION
The following table sets forth certain information regarding the
compensation earned for services rendered in all capacities to the Company by
the Company's Chief Executive Officer for the fiscal year ended December 31,
1996. No other executive officers had a combined salary and bonus in excess
of $100,000 for such fiscal year.
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SUMMARY COMPENSATION TABLE
LONG-TERM
ANNUAL COMPENSATION COMPENSATION
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SECURITIES
UNDERLYING
NAME AND PRINCIPAL OPTIONS ALL OTHER
POSITION YEAR SALARY BONUS OTHER GRANTED COMPENSATION
------------------ ---- -------- ------ ----- ------------ ------------
Paul L. Ray, Chief
Executive Officer and
Chairman 1996 $104,375 $8,036 None 6,400 $4,222(1)
(1) Represents the matching contribution made to Mr. Ray's 401(k) plan
account.
OPTION GRANTS
The following table contains information concerning stock options
granted under the Company's 1994 Stock Option Plan (the "1994 Option Plan")
to the Chief Executive Officer during the fiscal year ended December 31,
1996. No options have yet been granted under the Company's 1997 Stock Option
Plan, although assuming the 1997 Stock Option Plan is approved, the Company
will grant certain stock options to each of the Company's outside directors
and to the Chief Executive Officer at the April 1997 board meeting, which
will be exercisable at the fair market value of the underlying shares as of
the date of grant. SEE Proposal 2 - "Approval of 1997 Stock Option Plan,"
below.
OPTION GRANTS IN THE LAST FISCAL YEAR
INDIVIDUAL GRANTS
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NUMBER OF PERCENT OF TOTAL
SECURITIES OPTIONS GRANTED TO
UNDERLYING EMPLOYEES IN EXERCISE OR BASE EXPIRATION
NAME OPTIONS GRANTED FISCAL YEAR PRICE/SHARE DATE
---- --------------- ------------------ ---------------- ----------
Paul L. Ray 6,400(1) 11.11% $5.00 9/30/2001
(1) Represents an incentive stock option granted to Mr. Ray at fair market
value with a term of five years. Option vests over three years - 1/6
after six months and 1/12 every three months thereafter.
OPTION EXERCISES AND HOLDINGS
The following table sets forth information concerning option exercises
and option holdings under the Company's 1994 Stock Option Plan for the fiscal
year ended December 31, 1996, with respect to the Chief Executive Officer.
AGGREGATE OPTIONS EXERCISED IN THE LAST FISCAL YEAR
AND FISCAL YEAR END OPTION VALUES
NUMBER OF NUMBER OF SHARES
SHARES UNDERLYING UNEXERCISED OPTIONS VALUE OF UNEXERCISED, IN-THE-MONEY
ACQUIRED HELD AT DECEMBER 31, 1996 OPTIONS AT DECEMBER 31, 1996(2)
ON VALUE ------------------------------ ---------------------------------------
NAME EXERCISE REALIZED EXERCISABLE UNEXERCISABLE EXERCISABLE UNEXERCISABLE
---- -------- -------- ------------- --------------- ------------------ -------------------
Paul L. Ray . . . None N/A 108,396 28,004 $507,649 $113,095
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(1) Based on the fair market value of the underlying shares of Common
Stock of $6.00 per share, the closing price on December 31, 1996, as
reported by NASDAQ, less the per share exercise price.
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COMPENSATION COMMITTEE
The Board of Directors determines compensation of the executive officers of
the Company based upon recommendations made by the Company's compensation
committee.
EMPLOYMENT AGREEMENTS
Paul L. Ray, Chief Executive Officer and Chairman of the Board of Directors
of the Company, has an employment agreement (the "Ray Agreement") with the
Company that terminates on December 31, 1998. Mr. Ray's current annual salary
is $140,000. Mr. Ray's compensation package (including salary, bonus and stock
options and/or other equity incentives) is subject to an annual review by the
Board of Directors, but no portion of such compensation package can be decreased
without Mr. Ray's written consent. Pursuant to the Ray Agreement, options
granted prior to 1996 to Mr. Ray by virtue of option agreements with the Company
expire seven years from the date of grant and remain exercisable for a seven-
year period regardless of whether Mr. Ray's employment with the Company
terminates earlier and notwithstanding contrary provisions in said option
agreements. Options not vested on Mr. Ray's termination of employment shall be
forfeited unless the Board of Directors decides otherwise. In the event of a
Change in Control of the Company (as defined in the Ray Agreement), all options
previously granted to Mr. Ray which remain unvested will automatically vest
immediately. Upon a termination of Mr. Ray's employment following a Change in
Control, unless Mr. Ray voluntarily terminates his employment for other than
certain listed reasons, the Company is to pay Mr. Ray a lump sum severance
payment of one-half of his then current annual salary. In addition, if Mr.
Ray's employment is terminated (i) upon his death, (ii) by the Company due to
various described disability circumstances, (iii) by the Company without cause
or (iv) by Mr. Ray voluntarily upon the Company's default or unremedied Adverse
Change in Duties (as defined in the Ray Agreement), then the Company is to pay
Mr. Ray a lump sum severance payment of one-half of his then current annual
salary. Mr. Ray may terminate his employment at any time upon at least thirty
days written notice to the Company. Upon the termination of Ray's Agreement,
Mr. Ray is subject to certain non-compete, non-disturbance and non-interference
provisions for a period of six months.
CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS
Ray L. Hauser, a shareholder and member of the Board of Directors of the
Company, is an owner of the facility that was leased by the Company until it
moved into its current office space in February 1996. Rent expense under such
lease was $49,000 in 1995 and $10,000 during 1996.
During 1995, the Company issued a series of short-term notes in the
aggregate principal amount of $775,000 for working capital. These were issued
to five of the Company's existing shareholders and one director (the "Lenders").
Each Lender also received warrants ("Warrants") to purchase one share of Common
Stock for $1.25 per share for each $2.50 loaned to the Company as a term of the
loan transaction. Each note accrued interest at the rate of 11% per annum and
was secured by the Company's current and future inventory, accounts receivable,
intangible assets and intellectual property. The Company repaid the principal
amount of, and accrued and unpaid interest on, such notes with a portion of the
proceeds raised by the Company in its initial pubic offering which closed on
October 24, 1996. The following table sets forth each Lender's name, his or its
relationship to the Company, the original principal amount of each note, the
number of Warrants issued in connection with the issuance of such note, and the
amount of interest paid on each note. All Warrants issued to the noteholders
have been exercised except those held by Mr. Hamilton, which expire at various
times in 2000.
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Warrants Interest
Lender Title Note Amount Issued Paid
------ ----- ----------- -------- --------
Colorado Incubator Fund, L.P. Shareholder $ 10,000 4,000 $ 1,656
Edgewater Private Equity Fund, L.P. Shareholder 100,000 40,000 17,600
Edgewater Private Equity Fund, L.P. Shareholder 50,000 20,000 6,661
Edgewater Private Equity Fund, L.P. Shareholder 70,000 28,000 8,406
Farm Bureau Life Insurance Shareholder 100,000 40,000 17,142
Farm Bureau Life Insurance Shareholder 50,000 20,000 6,661
Farm Bureau Life Insurance Shareholder 70,000 28,000 7,999
Robert Hamilton Director 50,000 20,000 8,662
Robert Hamilton Director 50,000 20,000 5,622
John Pappajohn Shareholder 100,000 40,000 17,661
John Pappajohn Shareholder 50,000 20,000 6,692
John Pappajohn Shareholder 70,000 28,000 8,406
Paradigm Partners Shareholder 5,000 2,000 828
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TOTAL $ 775,000 310,000 $113,997
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SECTION 16(a) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE
Section 16(a) of the Securities Exchange Act of 1934 requires the Company's
officers and directors, and persons who own more than ten percent of a
registered class of the Company's equity securities, to file reports of
ownership and changes in ownership with the SEC. Such persons are also required
by SEC regulation to furnish the Company with copies of all Section 16(a) forms
they file.
To the best of the Company's knowledge, based solely on review of the
copies of such reports furnished to the Company and written representations that
no other reports were required, all Section 16(a) filing requirements applicable
to transactions during 1996 by its officers, directors and greater than ten
percent beneficial owners were complied with.
2. APPROVAL OF 1997 STOCK OPTION PLAN
The Company's Board of Directors adopted a stock option plan entitled the
1997 Stock Option Plan (the "1997 Stock Option Plan") as of January 30, 1997.
The 1997 Stock Option Plan is being presented to shareholders for their approval
at this meeting. The 1997 Stock Option Plan provides for the grant of incentive
stock options to employees of the Company and of nonqualified stock options to
employees, consultants and non-employee directors. A total of 300,000 shares of
the Company's Common Stock have been reserved for issuance upon exercise of
options that may be granted under the 1997 Stock Option Plan.
VOTE REQUIRED
The affirmative vote of a majority of the shares represented at the meeting
(exclusive of broker non-votes) will be required to approve the 1997 Stock
Option Plan.
REASONS FOR ADOPTION OF THE 1997 STOCK OPTION PLAN AND BOARD RECOMMENDATION
Because there are no shares of Common Stock presently available for grants
under the Company's 1994 Stock Option Plan, the Board believes that a new stock
option plan is necessary and appropriate to assure that
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reasonable incentives are available to the Company to encourage employees,
non-employee directors and consultants to provide services to the Company.
THE BOARD OF DIRECTORS HAS UNANIMOUSLY APPROVED THE 1997 STOCK OPTION PLAN
AND RECOMMENDS THAT SHAREHOLDERS VOTE TO APPROVE THE PLAN.
DESCRIPTION OF THE 1997 STOCK OPTION PLAN
The following is a summary of the terms of the 1997 Stock Option Plan and
does not contain a description of all of the terms and conditions of the 1997
Stock Option Plan. This summary is qualified in its entirety by reference to
the 1997 Stock Option Plan document, copies of which are available upon request
from the Company. In addition, a copy of the 1997 Stock Option Plan is on file
with the SEC.
PURPOSE. The 1997 Stock Option Plan was established for the purpose of
providing employees, consultants and directors of the Company with the
opportunity of participating in the growth of the Company through the purchase
of Common Stock by the exercise of options granted under the 1997 Stock Option
Plan.
ADMINISTRATION. The 1997 Stock Option Plan will be administered by the
Board of Directors of the Company or by a committee (the "Committee") of two or
more members of the Company's Board of Directors, consisting solely of non-
employee directors. The Board or the Committee will determine the persons who
shall receive options, the time period during which the options may be partially
or fully exercised, the number of shares of Common Stock issuable upon the
exercise of each option, and the option exercise price.
SHARES SUBJECT TO OPTIONS. The 1997 Stock Option Plan provides that the
total number of shares of Common Stock that may be subject to options granted
thereunder shall be 300,000 shares. Shares subject to any option which
terminates or expires unexercised are returned to the 1997 Stock Option Plan and
become available for subsequent grants.
ELIGIBILITY. The 1997 Stock Option Plan provides for the grant of
incentive stock options to employees of the Company and of nonqualified stock
options to employees, consultants and directors of the Company and any "parent"
or "subsidiary" of the Company.
TERMS OF OPTIONS. The exercise price of incentive stock options granted
under the 1997 Stock Option Plan shall be at least 100% of the "fair market
value" of the Common Stock on the date of grant and at least 110% of such value
for incentive stock options granted to any holder of ten percent or more of the
voting power of all classes of stock of the Company. The exercise price of
nonqualified stock options shall be at least 85% of the "fair market value" of
the Common Stock on the date of grant. For purposes of the 1997 Stock Option
Plan, "fair market value" means either the exercise price per share established
at the discretion of the Board of Directors or, in the event the Company's stock
is publicly traded: (i) the average of the closing bid and ask price per share
of Common Stock of the Company on the date preceding the date of grant, as
reported by the NASDAQ National Market or SmallCap Market; (ii) the average of
the closing bid and ask price per share of Common Stock of the Company on the
date preceding the date of grant, as reported on the over-the-counter market; or
(iii) if the Company's Common Stock is listed on a national securities exchange,
fair market value shall mean the closing price of the Common Stock on such
exchange on such preceding date as reported by The Wall Street Journal. The
1997 Stock Option Plan provides that no options may be granted thereunder after
January 29, 2007, ten years after the 1997 Stock Option Plan was adopted by the
Board of Directors. Options granted under the 1997 Stock Option Plan shall be
exercisable for no more than ten years from the date of grant or, in the case of
incentive stock options granted to a 10% shareholder, for no more than five
years from the date of grant. Unless otherwise determined by the Board or
Committee, options have a vesting schedule pursuant to which shares for 1/6 of
the option vest six months from the date of grant and shares for 1/12 of the
option vest every three months thereafter; provided that options shall not
become exercisable for additional shares (i.e., no future vesting) following the
date of termination. Unless otherwise determined by the Board or
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Committee, vested options must be exercised within three months of any
termination of employment. Termination for "cause" immediately terminates
any rights to exercise any vested options. Under certain circumstances,
including termination of employment upon disability or death, the option may
be exercised for a longer period. Vested options granted to non-employee
directors may be exercised at any time up to their specified expiration
dates, even if the director ceases to be a director of the Company. The
optionee shall pay for his/her shares upon exercise of an option in cash;
provided, the Company may permit the optionee to transfer to the Company
shares of Common Stock held for at least six months prior to the date of
exercise. A stock option granted under the 1997 Stock Option Plan is not
transferable by the individual to whom it is granted otherwise than by will
or the laws of descent and distribution, and may be exercised during the
lifetime of the optionee only by him or her; provided, however, that if such
individual becomes legally disabled (as such term is defined in Section
105(d)(4) of the Code), his or her legal representative may exercise the
stock option on his or her behalf; and provided, further, the Board or
Committee may permit transferability of nonqualified stock options by so
providing in the optionee's Stock Option Agreement. No incentive stock
options shall be granted under the 1997 Stock Option Plan to any employee
where the aggregate fair market value (determined at the time the option is
granted) of the stock with respect to which incentive stock options are
exercisable for the first time by such employee during any calendar year
(under all such plans of the Company and its parent and subsidiary
corporations) shall exceed $100,000. All options shall be exercisable even
though there may be outstanding any other option(s) which was or were granted
before the granting of such options. The Board or Committee shall have the
power at any time to amend or discontinue the 1997 Stock Option Plan, except
that any amendment which increases the aggregate number of shares which may
be granted under the Plan shall require the approval of the shareholders.
The Board or Committee may impose on any option any additional or other terms
and conditions which it deems advisable and which are not inconsistent with
the 1997 Stock Option Plan.
TERMS OF OPTIONS ISSUABLE TO CERTAIN EMPLOYEES. Pursuant to their
employment agreements with the Company, certain employees have been granted
special terms applicable to any stock options which they may receive. See
"Executive Compensation - Employment Agreements," under Proposal 1 - "Election
of Directors," above.
FEDERAL INCOME TAX CONSEQUENCES
INCENTIVE STOCK OPTIONS. The Company anticipates that all options granted
under the 1997 Stock Option Plan and treated by the Company as "incentive stock
options," that is, a stock option described in Section 422 of the Code, will
have the following anticipated (but not guaranteed) federal income tax
consequences, among others:
The optionee will recognize no income at the time of grant.
Upon exercise of the incentive stock option, no income will result to
any party.
If there is no disposition of the shares until a date that is both (i)
two years from the grant of an incentive stock option and (ii) one
year from its exercise, no amount will be ordinary income and, upon
disposition in a taxable transaction, the employee will receive long-
term capital gain or loss treatment equal to the difference between
his amount realized and the option price. Any gain realized upon a
disposition other than as set forth above may result in ordinary
income tax treatment to the optionee.
In the event of the tax treatment to the employee described above, the
Company receives no deduction in connection with the transaction.
Certain optionees may incur alternative minimum tax treatment under
the Code upon exercise of an incentive stock option.
-10-
NONQUALIFIED STOCK OPTIONS. The Company anticipates that all nonqualified
stock options granted under the Plan will have the following anticipated (but
not guaranteed) federal income tax consequences, among others:
The optionee will recognize no income at the time of grant.
Upon exercise of the nonqualified stock option, the individual to whom
the option is granted should be deemed to receive ordinary income at
the time of exercise equal to the excess, if any, of the fair market
value of the acquired shares at such time over the option price for
such shares. The Company will receive a deduction in connection with
the transaction.
If the shares acquired upon the exercise of a nonqualified stock
option are disposed of in a taxable transaction, the individual
disposing of such shares will have a realized and recognized capital
gain or loss equal to the difference, if any, between the amount
realized and the adjusted basis of such shares to him. The adjusted
basis usually (but not always) will include the option price plus any
ordinary income described above with respect to such shares.
CURRENT OPTIONS ALLOCATIONS
The Board of Directors has agreed to grant stock options under the 1997
Stock Option Plan to the following persons which will be exercisable to purchase
the number of shares opposite their names:
Name of Optionee Number of Shares
---------------- ----------------
Paul L. Ray, Chief Executive Officer,
Chairman and Director 35,879
Ray L. Hauser, Ph.D., Director 3,000
Clifford F. Frith, Director 3,000
David G. Sengpiel, Director 3,000
Robert T. Hamilton, Director 3,000
William O'Connor, Director 3,000
All Directors who are not Executive Officers,
as a group 15,000
Each option will be exercisable at the fair market value of the shares on the
date of grant which, assuming approval of the 1997 Stock Option Plan by
shareholders at the Annual Meeting, will be April 24, 1997. No additional
option allocations have been determined to be made under the 1997 Stock Option
Plan as of the date of this Proxy Statement; any additional allocations will be
at the discretion of the Committee or the Board of Directors.
3. RATIFICATION OF SELECTION OF AUDITORS
The Board has selected Price Waterhouse LLP, independent public
accountants, as independent auditors for the Company for 1997. A resolution
will be submitted to shareholders at the meeting for ratification of such
selection and the accompanying proxy will be voted for such ratification, unless
instructions to the contrary are indicated therein. Although ratification by
shareholders is not a legal prerequisite to the Board's selection of Price
Waterhouse LLP as the Company's independent public accountants, the Company
believes such ratification to be appropriate. If the shareholders do not ratify
the selection of Price Waterhouse LLP, the selection of independent public
accountants will be reconsidered by the Board; however, the Board may select
Price Waterhouse LLP, notwithstanding the failure of the shareholders to ratify
its selection.
The Board expects that representatives of Price Waterhouse LLP will be
present at the meeting, will have an opportunity to make a statement if they so
desire, and will be available to respond to appropriate
questions.
-11-
Price Waterhouse LLP has been the Company's independent public accountants
since 1994. During the fiscal year ended December 31, 1996, Price Waterhouse
LLP performed audit and other services for the Company including consultations
during the year on matters related to accounting, financial reporting and the
review of financial and related information that was included in filings with
the Securities and Exchange Commission. The appointment of auditors is approved
annually by the Board.
THE BOARD OF DIRECTORS RECOMMENDS A VOTE "FOR" THIS PROPOSAL.
4. MISCELLANEOUS MATTERS
As of the date of this Proxy Statement, the Board knows of no business that
will be presented for consideration at the meeting other than that which has
been referred to above. As to other business, if any, that may come before the
meeting, proxies in the enclosed form will be voted in accordance with the
judgment of the person or persons voting the proxies.
SHAREHOLDER NOMINATIONS AND PROPOSALS
In accordance with the rules of the SEC, any proposal of a shareholder
(including a nomination of a person to stand for election as a director of the
Company at the next Annual Meeting of Shareholders) intended to be presented at
the Company's 1998 Annual Meeting of Shareholders must be received by the
Secretary of the Company by November 17, 1997, in the form and subject to the
other requirements of the applicable rules of the SEC, in order for the proposal
to be considered for inclusion in the Company's notice of meeting, proxy
statement and proxy relating to the 1998 Annual Meeting.
COST OF PROXY SOLICITATION
The Company will bear the cost of the solicitation of proxies, including
the charges and expenses of brokerage firms and others for forwarding
solicitation material to beneficial owners of shares of Common Stock. In
addition to solicitation by mail, officers and regular employees of the Company
may solicit proxies personally or by telephone. No compensation other than
their regular compensation will be paid to officers or employees for any
solicitation which they may make.
At any time prior to being voted, the enclosed proxy is revocable by
written notice to the Secretary of the Company or by appearance at the meeting
to vote in person.
By Order of the Board of Directors.
Waldean A. Schulz, Ph.D.,
Secretary
March 17, 1997
-12-
APPENDIX
IMAGE GUIDED TECHNOLOGIES, INC.
1997 STOCK OPTION PLAN
1. INTRODUCTION. This Stock Option Plan (the "Plan") is established for
the purpose of providing employees, consultants and directors of Image Guided
Technologies, Inc., a Colorado corporation (the "Corporation"), with the
opportunity of participating in the growth of the Corporation through the
purchase of the Common Stock of the Corporation (the "Common Stock"). The Board
of Directors believes that the Plan affords an appropriate means of encouraging
employees, consultants and directors to provide service to the Corporation and
of rewarding such employees, consultants and directors for their contributions
to the Corporation's growth. The options granted under the Plan are intended to
qualify as incentive stock options under the Internal Revenue Code of 1986, as
amended (the "Code"), unless designated as non-qualified stock options.
However, to the extent any options granted as incentive stock options fail to
qualify for any reason as incentive stock options, they shall automatically be
treated as non-qualified stock options.
2. ADMINISTRATION OF THE PLAN. The Plan shall be administered by the
Board of Directors (the "Board") of the Corporation or by a committee (the
"Committee") consisting solely of two or more members of the Board, each of whom
shall be a "non-employee director" as that term is defined in Rule 16b-3 of the
Securities Exchange Act of 1934, as amended (the "Exchange Act"). Any vacancy
occurring in the membership of the Committee shall be filled by appointment by
the Board. With respect to Insiders (as defined below), transactions under this
Plan are intended to comply with all applicable conditions of Rule 16b-3 or its
successors under the Exchange Act. The term "Insiders" shall mean those
officers, directors and other persons who are subject to Section 16 of the
Securities Exchange Act of 1934 and the rules and regulations thereunder.
The Board or Committee, as the case may be, may from time to time adopt
such rules and regulations as it may deem advisable for the administration of
the Plan, and may alter, amend or rescind any such rules and regulations in its
discretion. The Board or Committee shall have the power to interpret or amend
or discontinue the Plan, except that any amendment which increases the aggregate
number of shares for which options may be granted under the Plan shall take
effect only upon approval of the shareholders of the Corporation; and further
provided that without the written consent of an optionee, no amendment or
suspension of the Plan shall alter or impair any option previously granted to
him under the Plan, subject to any provisions otherwise in the Plan. All
decisions made by the Board or Committee in the administration and interpreta-
tion of the Plan shall be binding and conclusive for all purposes. No member of
the Board or Committee shall be liable for any action taken or decisions made by
him in good faith with respect to the Plan or any option granted under it, and
all members of the Board or Committee
shall, in addition to their rights as directors, be fully indemnified by the
Corporation with respect to any such action or determination.
3. GRANT OF OPTION. Except as provided in Section 7 hereof, options may
be granted under the Plan for a total of 300,000 shares of Common Stock to one
or more employees, consultants or directors of the Corporation selected by the
Board or Committee in its sole discretion. The grant of an option hereunder
shall be evidenced by the Corporation's written agreement of the grant, which
shall also indicate the terms and conditions of the option granted, and whether
the option is an incentive stock option or non-qualified stock option. Such
agreement shall be delivered to and executed by the individual to whom the
option is granted. If any shares of Common Stock subject to such options are
not purchased or otherwise paid for before such stock options expire, such
shares may again be made subject to stock options. No stock option may be
granted under the Plan more than 10 years after the initial adoption of the Plan
by the Board, which tenth anniversary is January 29, 2007.
4. TERMS AND CONDITIONS OF OPTIONS. The type of option, the number of
shares which may be purchased under each option, the purchase price per share
and the option's expiration date, shall be designated by the Board or Committee
at the time the option is granted. The purchase price per share of an incentive
stock option shall in no event be less than 100% of the fair market value of a
share at the time the option is granted and the purchase price per share of a
non-qualified stock option shall in no event be less than 85% of the fair market
value of a share at the time the option is granted; provided, however, that
incentive stock options may not be granted to any holder of the voting rights of
10% or more of the total combined voting power of all classes of stock of the
Corporation at time of grant, unless the purchase price shall be at least 110%
of the fair market value of the shares at the time of grant. "Fair market
value" shall be determined as set forth in Section 6 below. A stock option
granted under the Plan shall not be transferable by the individual to whom it is
granted otherwise than by will or the laws of descent and distribution, and
shall be exercisable during the lifetime of the optionee only by him; provided,
however, that if such individual becomes legally disabled (as such term is
defined in Section 105(d)(4) of the Code), his legal representative may exercise
the stock option on his behalf; and provided, further, the Board or Committee
may permit transferability of non-qualified stock options by so providing in the
optionee's Non-Qualified Stock Option Agreement. No incentive stock options
shall be granted under the Plan to any employee where the aggregate fair market
value (determined at the time the option is granted) of the stock with respect
to which incentive stock options are exercisable for the first time by such
employee during any calendar year (under all such plans of the Corporation and
its parent and subsidiary corporations) shall exceed $100,000. All options
shall be exercisable even though there may be outstanding any other option(s)
which was or were granted before the granting of such option. The Board or
Committee may impose on any option any additional terms and conditions which it
deems advisable and which are not inconsistent with the Plan.
-2-
5. EXERCISE OF OPTIONS.
(a) Unless otherwise determined by the Board or Committee and
specifically set forth in optionee's Non-Qualified or Incentive Stock Option
Agreement, as applicable, options granted hereunder shall mature and become
exercisable as follows:
Fraction of
Period of Time Shares for
After Date of Which Option May
Grant Be Exercised
-------------- ----------------
At the end of 6 months 1/6
At the end of every
three months thereafter 1/12
At the end of the 36th month Any remaining shares
(b) An optionee may exercise less than all the matured portion of the
option, in which case such unexercised, matured portion shall continue to remain
exercisable, subject to the terms of the Plan, until the option terminates as
provided below. The Board or Committee may accelerate the vesting of any
optionee's stock option by giving written notice to the optionee and, with the
consent of the holder thereof, modify, amend or terminate any stock option.
(c) Unless otherwise specified by the Board or Committee, options
granted hereunder to employees and consultants shall be exercisable by the
optionee for a period of three months after optionee's employment by, or
engagement with, the Corporation terminates, other than for cause (as defined
below); provided that such options shall not become exercisable for additional
shares (i.e., no further vesting) following the date of termination. If an
optionee's employment or engagement with the Corporation is terminated for
cause, the option shall not be exercisable at any time after such termination.
"Cause" shall mean (i) optionee's commission of a felony, fraud or willful
misconduct which has resulted, or is likely to result, in damage to the Corpora-
tion, as determined in the sole discretion of the Board or Committee, or
(ii) the breach by optionee of the terms of any non-disclosure or non-competi-
tion agreement with the Corporation, as determined in the sole discretion of the
Board or Committee. If optionee's employment or engagement is terminated due to
his death or legal disability (as that term is defined in Section 105(d)(4) of
the Code) at a time when he could have exercised an incentive or non-qualified
stock option or any part thereof, then the option shall remain exercisable for a
period of one (1) year from the date of such individual's termination as a
result of disability or death; provided, however, that no such option shall
become exercisable for additional shares (i.e., no further vesting) following
the date of termination. Unless otherwise specified by the Board or Committee,
options granted to non-employee directors shall remain exercisable until
-3-
their specified expiration dates; provided that such options shall not become
exercis-able for additional shares (i.e., no further vesting) following the
date of termination of a director's service on the Board. Notwithstanding
any other provision of this section or of any other section of the Plan, no
stock option granted hereunder shall be exercisable after the expiration of
ten (10) years from the date such option is granted; provided that no
incentive stock option granted to a 10% shareholder (as referenced in Section
4 hereof) shall be exercisable after the expiration of five (5) years from
the date such option is granted.
(d) Incentive stock options may be granted only to employees (includ-
ing officers) of the Corporation. A director of the Corporation shall not be
eligible to be granted an incentive stock option unless the director is also an
employee of the Corporation. Consultants shall not be eligible to be granted
incentive stock options. Non-employee directors and consultants may only be
granted non-qualified stock options. An optionee may, if he is otherwise
eligible, be granted additional options. Employees, directors and consultants
of any "parent" or "subsidiary" of the Corporation (as defined in Section 424 of
the Code) shall also be eligible to be granted options under the Plan.
(e) An optionee shall exercise his option by delivering to the
Corporation's Secretary, at the principal office of the Corporation, the form of
Stock Option Exercise Notice attached to his Stock Option Agreement, or other-
wise provided to optionee by the Corporation, which notice shall set forth the
number of shares desired to be purchased and state whether the optionee is
exercising an incentive stock option or non-qualified stock option; such
Exercise Notice shall also be accompanied by cash or check in the amount equal
to the full purchase price of the shares being purchased; provided, however,
that the Corporation may in its discretion allow the optionee to pay the
purchase price in whole or in part by transferring to the Corporation shares of
Common Stock held by him for at least six (6) months prior to the date of
exercise, in which case such certificate shall reflect the number of shares
after payment of the exercise price. The Exercise Notice shall be signed by the
holder of the option; and, at the option of the Corporation, shall contain a
representation that the shares are being purchased for investment only and not
for resale or distribution. The Corporation may place a legend on any certifi-
cate issued hereunder which it deems necessary to comply with any applicable
law. Within a reasonable time after receipt of notice in the form specified
above, the Corporation shall cause to be issued and delivered to the holder of
the option a certificate for the number of shares of Common Stock which the
holder has purchased; provided, however, that the Corporation may in its
discretion allow the optionee to elect to pay any withholding taxes payable, in
whole or in part, by transferring to the Corporation shares of Common Stock of
the Corporation owned by him or by being credited by the Corporation for shares
he has a right to acquire in the option being exercised, in which case such
certificate shall reflect the number of shares after payment of the taxes. All
documentary stamp taxes payable on account of such issue shall be paid for by
the Corporation. In no event shall the Corporation be required to issue
fractional shares upon the exercise of an option.
-4-
(f) No person shall have any rights as a shareholder with respect to
any shares covered by an option until the date of the issuance of a stock
certificate(s) for the shares for which the option has been exercised. No
adjustments shall be made for dividends or distributions or other rights for
which the record date is prior to the date such stock certificate(s) are issued,
except as provided in Section 7. Nothing in this Plan or in any option agree-
ment shall confer upon any optionee any right to continue in the employ of the
Corporation or interfere in any way with any right of the Corporation to
terminate the optionee's employment at any time. The adoption of the Plan of
itself, shall not be deemed to entitle any employee to any rights to be granted
options.
6. DEFINITION OF FAIR MARKET VALUE. For the purposes of this Plan, "fair
market value" shall mean either the exercise price per share established in the
discretion of the Board of Directors or, in the event the Corporation's stock is
publicly traded: (i) the average of the closing bid and ask price per share of
Common Stock of the Corporation on the date preceding the date of grant, as
reported by the NASDAQ National Market or SmallCap Market, (ii) the average of
the closing bid and ask price per share of Common Stock of the Corporation on
the date preceding the date of grant, as reported on the over-the-counter
market, or (iii) if the Corporation's Common Stock is listed on a national
securities exchange, fair market value shall mean the closing price of the
Common Stock on such exchange on such preceding date as reported by THE WALL
STREET JOURNAL.
7. STOCK SPLITS, MERGERS, ETC.
(a) In case of any stock split, stock dividend or similar transaction
which increases or decreases the number of outstanding shares of the Corporatio-
n's Common Stock, appropriate adjustment will be made to both the number of
shares which may be purchased under the Plan and the number and price per share
of Common Stock which may be purchased under any outstanding options. If any
adjustment shall result in a fractional share, the fraction shall be disregard-
ed, and the Corporation shall have no obligation to make any cash or other
payment with respect to such a fractional share. Any adjustment shall be made
by the Board, whose determination in that respect, and as to whether any
adjustment needs to be made, shall be final, binding and conclusive.
(b) In the event of a Change in Control (as defined below) of the
Corporation, the Board, in its sole discretion, may provide for the acceleration
of the exercise date of some or all of the non-exercisable portion of any
outstanding stock options and/or may provide for the replacement of any stock
options with comparable options to purchase stock of such other corporation or
entity. A "Change in Control" shall be deemed to have occurred if the share-
holders of the Corporation approve a definitive agreement (a) to merge or
consolidate the Corporation with or into another entity in which the Corporation
is not the continuing or surviving corporation or pursuant to which any shares
of Common Stock would be converted into cash, securities, or other property of
another entity, other than a merger of the Corporation in which the holders of
common stock immediately prior to the merger have the same proportionate
ownership of
-5-
common stock (or equivalent securities) of the surviving entity immediately
after the merger as immediately before, or (b) to sell or otherwise dispose
of all or substantially all of the assets of the Corporation. All options
outstanding on the date any such event or transaction is consummated, to the
extent not assumed by the surviving or acquiring corporation or exercised by
the optionee, shall be terminated and no longer exercisable.
(c) In the event of a dissolution or liquidation of the Corporation,
all stock options shall terminate immediately prior to the consummation of such
dissolution or liquidation, unless otherwise determined by the Board.
8. EFFECTIVE DATE. The Plan was adopted by the Board of Directors and
became effective on January 30, 1997. The Plan shall be approved by the
shareholders of the Corporation within twelve months of such date or else the
Plan shall lapse and be cancelled.
-6-
SOLICITED BY THE BOARD OF DIRECTORS
IMAGE GUIDED TECHNOLOGIES, INC.
PROXY
ANNUAL MEETING OF SHAREHOLDERS -- APRIL 24, 1997
The undersigned hereby appoints Paul L. Ray and Robert E. Silligman, or
either of them, attorneys and proxies for the undersigned, with full power of
substitution, for and in the name, place and stead of the undersigned, to
represent and vote, as designated below, all the shares of stock of Image Guided
Technologies, Inc., a Colorado corporation, held of record by the undersigned on
March 17, 1997, at the Annual Meeting of the Shareholders to be held at 5710-B
Flatiron Parkway, Boulder, Colorado at 10:00 a.m., Boulder Time on April 24,
1997, and at any adjournment or postponement of such meeting, and with
discretionary authority as to any other matters that may properly come before
the meeting, in accordance with and as described in the Notice of Annual Meeting
of Shareholders and Proxy Statement. IF NO DIRECTION IS GIVEN, THIS PROXY WILL
BE VOTED FOR PROPOSALS 1, 2 AND 3.
/X/ PLEASE MARK VOTES AS IN THIS EXAMPLE.
THE BOARD OF DIRECTORS RECOMMENDS A VOTE FOR PROPOSAL 1.
1. Election of Directors
NOMINEES: Paul L. Ray, Waldean A. Schulz, Ph.D., Ray L. Hauser, Ph.D.,
Clifford F. Frith, David G. Sengpiel, Robert T. Hamilton, William O'Connor
FOR / / WITHHELD / /
/ / ____________________________________________________________________________
FOR all nominees except as stated on line above
THE BOARD OF DIRECTORS RECOMMENDS A VOTE FOR PROPOSAL 2.
2. Approval of 1997 Stock Option Plan
FOR / / AGAINST / / ABSTAIN / /
THE BOARD OF DIRECTORS RECOMMENDS A VOTE FOR PROPOSAL 3.
3. Ratification of Selection of Price Waterhouse LLP as Auditors
FOR / / AGAINST / / ABSTAIN / /
PLEASE MARK, SIGN, DATE AND RETURN
THIS PROXY CARD PROMPTLY
USING THE ENCLOSED ENVELOPE
The undersigned hereby revokes any proxy or proxies heretofore given to vote
upon or act with respect to such stock and hereby ratifies all that the proxies,
their substitutes, or any of them, may lawfully do by virtue hereof.
Please sign exactly as your name
appears. If acting as attorney,
executor, trustee or in other
representative capacity, sign name
and title.
Signature: ________________________
Date: _____________________________
Signature: ________________________
Date: _____________________________