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SEC 1473 POTENTIAL PERSONS WHO ARE TO RESPOND TO THE COLLECTION OF INFORMATION CONTAINED IN THIS FORM ARE NOT REQUIRED TO
(09-02) RESPOND UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB CONTROL NUMBER.
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-------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION -----------------------------
FORM 3 WASHINGTON, D.C. 20549 OMB APPROVAL
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INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES OMB Number: 3235-0104
Expires: January 31, 2005
FILED PURSUANT TO SECTION 16(a) OF THE SECURITIES EXCHANGE ACT OF 1934, Estimated average burden
SECTION 17(a) OF THE PUBLIC UTILITY HOLDING COMPANY ACT OF 1935 OR hours per response .... 0.5
(Print or Type Responses) SECTION 30(h) OF THE INVESTMENT COMPANY ACT OF 1940 -----------------------------
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1. Name and Address of Reporting Person* 2. Date of Event Re- 4. Issuer Name AND Ticker or Trading Symbol
quiring Statement
Worthley David (Month/Day/Year) Verint Systems Inc. (Nasdaq: VRNT)
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(Last) (First) (Middle) November 25, 2002 5. Relationship of Reporting Person(s) 6. If Amendment, Date
----------------------- to Issuer (Check all applicable) of Original
3. I.R.S. Identifi- Director 10% Owner (Month/Day/Year)
cation Number of ---- ----
8626 Hollowbrook Way Reporting Person, Officer (give Other (specify --------------------
------------------------------------------------- if an entity X title below) below) 7. Individual or
(Street) (voluntary) ---- ---- Joint/Group Filing
(Check Applicable
President, Verint Technology, Inc. Line)
(subsidiary) Form filed by One
----------------------------------- X Reporting Person
---
Form filed by
More than One
Reporting Person
Manassas Virginia 20110 ---
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(City) (State) (Zip) TABLE I -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial
(Instr. 4) Beneficially Owned Form: Direct Ownership (Instr. 5)
(Instr. 4) (D) or Indirect
(I) (Instr. 5)
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FORM 3 (CONTINUED) TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE
SECURITIES)
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1. Title of Derivative Security 2. Date Exer- 3. Title and Amount of Securities 4. Conver- 5. Owner- 6. Nature of Indirect
(Instr. 4) cisable and Underlying Derivative Security sion or ship Beneficial
Expiration (Instr. 4) Exercise Form of Ownership
Date Price of Deriv- (Instr. 5)
(Month/Day/ Deri- ative
Year) vative Security:
-------------------------------------------------- Security Direct
Amount (D) or
Date Expir- or Indirect
Exer- ation Title Number (I)
cisable Date of
Shares (Instr. 5)
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Employee Stock Option (right to buy) (1) 12/15/08 Common Shares 1,370 $5.8765 D
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Employee Stock Option (right to buy) (2) 12/15/08 Common Shares 3,523 $5.8765 D
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Employee Stock Option (right to buy) (3) 02/01/09 Common Shares 6,849 $5.8765 D
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Employee Stock Option (right to buy) (4) 02/01/10 Common Shares 978 $6.8985 D
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Employee Stock Option (right to buy) (5) 04/01/11 Common Shares 1,957 $8.6870 D
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Employee Stock Option (right to buy) (6) 05/16/12 Common Shares 1,957 $16.0000 D
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
Explanation of Responses:
(1) 75% of the options vested in equal portion on 2/1/00, 2/1/01 and 2/1/02, and the
unvested portion of the option grant is scheduled to vest on 2/1/03.
(2) 75% of the options vested in equal portion on 2/1/00, 2/1/01 and 2/1/02, and the
unvested portion of the option grant is scheduled to vest on 2/1/03.
(3) 75% of the options vested in equal portion on 2/1/00, 2/1/01 and 2/1/02, and the
unvested portion of the option grant is scheduled to vest on 2/1/03.
(4) 50% of the options vested in equal portion on 2/1/01, 2/1/02 and the unvested
portion of the option grant is scheduled to vest in equal portions on 2/1/03
and 2/1/04.
(5) 25% of the options vested on 2/1/02, and the unvested portion of the option grant
is scheduled to vest in equal portions on 2/1/03, 2/1/04 and 2/1/05.
(6) The option grant is scheduled to vest in equal portions on 2/1/03, 2/1/04, 2/1/05
and 2/1/06.
/s/ David Worthley 11/25/02
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**Signature of Reporting Person Date
*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.
HTTP://WWW.SEC.GOV/DIVISIONS/CORPFIN/FORMS/FORM3.HTM
LAST UPDATE: 09/03/2002