SEC FORM 3/A 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*
Blum Robert I

(Last) (First) (Middle)
*280 E. GRAND AVENUE

(Street)
SOUTH SAN FRANCISCO CA 94084

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/28/2004
3. Issuer Name and Ticker or Trading Symbol
CYTOKINETICS INC [ CYTK ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP, Finance and Bus Dev, CFO
5. If Amendment, Date of Original Filed (Month/Day/Year)
04/28/2004
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 87,500 D
Common Stock 2,500 I Shares held by The Bridget Blum 2003 Irrevocable Trust.
Common Stock 10,000 I Shares held by The Bridget Blum 2003 Irrevocable Trust.
Common Stock 2,500 I Shares held by The Brittany Blum 2003 Irrevocable Trust.
Common Stock 10,000 I Shares held by The Brittany Blum 2003 Irrevocable Trust.
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)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (right to buy) 11/14/2000 11/13/2010 Common Stock 112,500 0.58(1) D
Employee Stock Option (right to buy) 07/10/2002 07/09/2012 Common Stock 150,000(2) 1.2(1) D
Employee Stock Option (right to buy) 05/21/2003 05/20/2013 Common Stock 37,500 1.2(1) D
Employee Stock Option (right to buy) 12/18/2003 12/17/2013 Common Stock 141,925 2(1) D
Explanation of Responses:
1. Amended to reflect post-split amount
2. Shares subject to the Option shall be released from the Company's Repurchase Option per the following vesting schedule: 25,000 shall be released immediately on the Date of Grant (November 14, 2000) and 1/60th per month thereafter.
Remarks:
* Change of Address
/s/ Robert I. Blum 07/26/2004
/s/ James H. Sabry, by power of attorney 07/26/2004
** 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.
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