SEC Filing | Cutera Inc.

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SEC FORM 3 SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

LEVERNIER MICHAEL J

(Last)

(First)

(Middle)

C/O CUTERA, INC.

3240 BAYSHORE BOULEVARD

(Street)

BRISBANE

94005

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
03/31/2004

3. Issuer Name and Ticker or Trading Symbol
CUTERA INC [ CUTR ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	X	10% Owner
X	Officer (give title below)		Other (specify below)
VP of Clinical Development

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	278,252	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
Employee Stock Option (Right to Buy)	09/01/2000⁽¹⁾	09/13/2009	Common Stock	199,700⁽²⁾	0.1	D
Employee Stock Option (Right to Buy)	06/01/2001⁽¹⁾	06/09/2010	Common Stock	20,000	0.5	D
Employee Stock Option (Right to Buy)	06/01/2002⁽¹⁾	06/08/2011	Common Stock	11,700	2.5	D
Employee Stock Option (Right to Buy)	06/01/2003⁽¹⁾	08/07/2012	Common Stock	13,875	4.25	D
Employee Stock Option (Right to Buy)	06/01/2004⁽¹⁾	08/13/2013	Common Stock	20,000	4.25	D

Explanation of Responses:

1. Options vest according to the following schedule: 1/4 upon the date exercisable, and 1/48 per month thereafter.

2. The original option grant for 200,000 shares was partially exercised for 300 shares of Common Stock on December 29, 2003.

	/s/ Michael J. Levernier	03/30/2004
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** 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 is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.