SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

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(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
RAVIV GABRIEL

(Last) (First) (Middle)
C/O BIO-LOGIC SYSTEMS CORP.
ONE BIO-LOGIC PLAZA

(Street)
MUNDELEIN IL 60060

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
BIO LOGIC SYSTEMS CORP [ BLSC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
CEO
3. Date of Earliest Transaction (Month/Day/Year)
01/03/2006
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 01/03/2006 M 13,125 A $3.3 392,679 D
Common Stock 01/03/2006 M 937 A $3.718 393,616 D
Common Stock 01/03/2006 M 22,500 A $3.267 416,116 D
Common Stock 01/03/2006 M 937 A $3.1533 417,053 D
Common Stock 01/03/2006 M 17,813 A $3.6133 434,866 D
Common Stock 01/03/2006 M 17,812 A $4.2933 452,678 D
Common Stock 01/04/2006 M 22,500 A $3.2267 475,178 D
Common Stock 01/04/2006 M 938 A $3.1533 476,116 D
Common Stock 01/04/2006 M 35,625 A $3.6133 511,741 D
Common Stock 01/04/2006 M 53,438 A $4.2933 565,179 D
Common Stock 01/05/2006 D 565,179 D ( 1 ) 0 D
Common Stock 01/05/2006 D 295,708 D ( 1 ) 0 I See footnote ( 2 )
Common Stock 01/05/2006 D 315,187 D ( 1 ) 0 D ( 3 )
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) $3.3 01/03/2006 M 13,125 06/05/2005 06/05/2006 Common Stock 13,125 $0 0 D
Stock Option (Right to Buy) $3.718 01/03/2006 M 937 08/23/2005 08/23/2006 Common Stock 937 $0 0 D
Stock Option (Right to Buy) $3.2267 01/03/2006 M 22,500 ( 4 ) 07/10/2007 Common Stock 22,500 $0 0 D
Stock Option (Right to Buy) $3.1533 01/03/2006 M 937 ( 4 ) 08/22/2007 Common Stock 937 $0 0 D
Stock Option (Right to Buy) $3.6133 01/03/2006 M 17,813 ( 4 ) 08/25/2008 Common Stock 17,813 $0 0 D
Stock Option (Right to Buy) $4.2933 01/03/2006 M 17,812 ( 4 ) 07/22/2009 Common Stock 17,812 $0 0 D
Stock Option (Right to Buy) $3.2267 01/04/2006 M 22,500 ( 4 ) 07/10/2007 Common Stock 45,000 $0 0 D
Stock Option (Right to Buy) $3.1533 01/04/2006 M 938 ( 4 ) 08/22/2007 Common Stock 1,875 $0 0 D
Stock Option (Right to Buy) $3.6133 01/04/2006 M 35,625 ( 4 ) 08/25/2008 Common Stock 53,438 $0 0 D
Stock Option (Right to Buy) $4.2933 01/04/2006 M 53,438 ( 4 ) 07/22/2009 Common Stock 71,250 $0 0 D
1. Name and Address of Reporting Person*
RAVIV GABRIEL

(Last) (First) (Middle)
C/O BIO-LOGIC SYSTEMS CORP.
ONE BIO-LOGIC PLAZA

(Street)
MUNDELEIN IL 60060

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Raviv Dorit

(Last) (First) (Middle)
C/O BIO-LOGIC SYSTEMS CORP.
ONE BIO-LOGIC PLAZA

(Street)
MUNDELEIN IL 60060

(City) (State) (Zip)
Explanation of Responses:
1. Disposed of pursuant to the merger agreement among Issuer, Natus Medical Incorporated and Summer Acquisition Corporation in which each share of common stock of the Issuer was exchanged for $8.77 in cash, without interest, on the effective date of the merger.
2. These shares were held by the Raviv Family Limited Partnership.
3. These shares were owned directly by Dorit Raviv, Dr. Raviv's spouse.
4. The options became fully vested upon Issuer stockholder approval of the merger on January 4, 2006.
/s/ Michael J. Hanley as Attorney-in-Fact 01/05/2006
** Signature of Reporting Person Date
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