SEC Filing | Align Technology

View:

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

OMB APPROVAL

OMB Number:			3235-0104
Estimated average burden
hours per response:			0.5

1. Name and Address of Reporting Person^*

Laks Gil

(Last)

(First)

(Middle)

C/O ALIGN TECHNOLOGY, INC.

881 MARTIN AVE

(Street)

SANTA CLARA

95050

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
09/12/2005

3. Issuer Name and Ticker or Trading Symbol
ALIGN TECHNOLOGY INC [ ALGN ]

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

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
Vice President, International

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	1,908	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)
Right to buy (Common Stock)	04/23/2004⁽¹⁾	04/23/2013	Common Stock	3,126	6.15	D
Right to buy (Common Stock)	03/12/2005⁽¹⁾	03/12/2014	Common Stock	31,500	18.73	D
Right to buy (Common Stock)	02/22/2005⁽²⁾	02/22/2015	Common Stock	90,000	7.35	D
Right to buy (Common Stock)	06/29/2002⁽¹⁾	06/29/2011	Common Stock	4,376	7.84	D
Right to buy (Common Stock)	05/31/2003⁽¹⁾	05/31/2012	Common Stock	9,375	3.85	D
Right to buy (Common Stock)	10/31/2003⁽¹⁾	10/31/2012	Common Stock	31,875	1.77	D

Explanation of Responses:

1. Represents an option in which 25% of the shares underlying the option are vested and exercisable one year after the date of grant and 1/48th of the remaining shares underlying the option are exercisable each month thereafter.

2. Represents an option in which 25% of the shares underlying the option are vested and exercisable on the date of grant and 1/36th of the remaining shares underlying the option vest each month thereafter.

	Gil Laks	09/16/2005
	** 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.