SEC FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
 
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
HALL MARK J

(Last) (First) (Middle)
HANSEN NATURAL CORP.
1010 RAILROAD STREET

(Street)
CORONA CA 92882

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
HANSEN NATURAL CORP [ HANS ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Senior VP, Hansen Beverage Co.
3. Date of Earliest Transaction (Month/Day/Year)
09/28/2005
4. 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 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 32,000(5) D
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
Employee Stock Option (right to buy) $4.075 (1) 01/15/2014 Common Stock 120,000 96,000 D
Employee Stock Option (right to buy) $1.785 (2) 07/12/2012 Common Stock 40,000 16,000 D
Employee Stock Option (right to buy) $26.25 (3) 03/23/2015 Common Stock 200,000 200,000 D
Employee Stock Option (right to buy) $43.79 09/28/2005 A 25,000 (4) 09/28/2015 Common Stock 25,000 $43.79 25,000 D
Employee Stock Option (right to buy) $4.075 (1) 01/15/2014 Common Stock 30,000 24,000 I Held by wife
Employee Stock Option (right to buy) $1.785 (2) 07/12/2012 Common Stock 20,000 8,000 I Held by wife
Explanation of Responses:
1. The remaining options vests in four equal installments on January 15, 2006, 2007, 2008 and 2009. The option was adjusted to reflect the stock split on August 8, 2005.
2. The remaining options vests in two equal installments on July 12, 2006 and 2007. The option was adjusted to reflect the stock split on August 8, 2005.
3. Granted March 23, 2005 pursuant to the Company's 2001 Stock Option Plan (which is a Rule 16b-3(d)(1) plan). The option vests in five equal installments on March 23, 2006, 2007, 2008, 2009 and 2010. The option was adjusted to reflect the stock split on August 8, 2005.
4. Granted September 28, 2005 pursuant to the Company's 2001 Stock Option Plan (which is a Rule 16b-3(d)(1) plan). The option vests in five equal installments on September 28, 2006, 2007, 2008, 2009 and 2010.
5. On August 8, 2005, the common stock of Hansen Natural Corporation split 2 for 1, resulting in the reporting person's acquisition of 16,000 additional shares of common stock.
Mark J. Hall 09/30/2005
** 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 4 (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.