SEC FORM 5 SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL 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
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
Form 3 Holdings Reported.
X
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
JULIEN ANDRE

(Last) (First) (Middle)
FARO TECHNOLOGIES INC
125 TECHNOLOGY PARK

(Street)
LAKE MARY FL 32746

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
FARO TECHNOLOGIES INC [ FARO ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2004
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 at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Stock 12/31/2004 M4 4,510 A (7) 4,510 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)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Non-employee Director Stock Option (right to buy) $4.88 04/29/2000 04/29/2009 Common Stock 3,000 3,000 D
Non-employee Director Stock Option (right to buy) $3.13 04/29/2000 04/29/2009 Common Stock 3,000 3,000 D
Non-employee Director Stock Option (right to buy) $2.57 05/02/2002 05/02/2011 Common Stock 3,000 3,000 D
Non-employee Director Stock Option (right to buy) $2.49 05/02/2002 05/02/2007 Common Stock 21,000 21,000 D
Non-employee Director Stock Option (right to buy) $2.49 05/02/2003 05/02/2012 Common Stock 3,000 3,000 D
Non-employee Director Stock Option (right to buy) $4.42 05/29/2004 05/29/2013 Common Stock 3,000 3,000 D
Non-employee Director Stock Option (right to buy) $21.56 05/12/2005 05/12/2014 Common Stock 3,000 3,000 D
Deferred Share Units (1) (9) (9) Common Stock 200 200 D(2)
Deferred Share Units (1) (9) (9) Common Stock 1,263 1,263 D(3)
Deferred Share Units (1) (9) (9) Common Stock 1,609 1,609 D(4)
Deferred Share Units (1) (9) (9) Common Stock 2,193 2,193 D(5)
Deferred Share Units (1) (9) (9) Common Stock 3,905 3,905 D(6)
Deferred Share Units (1) 12/31/2004 4M 4,510 (9) (9) Common Stock 4,510 (7) 0 D
Deferred Share Units (1) (9) (9) Common Stock 960 960 D(8)
Explanation of Responses:
1. 1 for 1
2. Acquired on various dates between September 22, 1997 and December 31, 1997 pursuant to the Company's 1997 Non-employee Directors' Fee Plan at $10.03 per share.
3. Acquired on various dates between January 1, 1998 and December 31, 1998 pursuant to the Company's 1997 Non-employee Directors' Fee Plan at prices ranging from $3.60 to $11.94 per share.
4. Acquired on various dates between January 1, 1999 and December 31, 1999 pursuant to the Company's 1997 Non-employee Directors' Fee Plan at prices ranging from $2.73 to $5.95 per share.
5. Acquired on various dates between January 1, 2000 and December 31, 2000 pursuant to the Company's 1997 Non-employee Directors' Fee Plan at prices ranging from $2.93 to $4.43 per share.
6. Acquired on various dates between January 1, 2001 and December 31, 2001 pursuant to the Company's 1997 Non-employee Directors' Fee Plan at prices ranging from $1.90 to $2.77 per share.
7. Acquired on various dates between January 1, 2002 and December 31, 2002 pursuant to the Company's 1997 Non-employee Directors' Fee Plan at prices ranging from $1.44 to $2.65 per share.
8. Acquired on January 17 & 18, 2003 pursuant to the Company's 1997 Non-employee Directors' Fee Plan at $2.50.
9. Shares of phantom stock units become payable to the director pursuant to the terms and conditions of the Amended and Restated 1997 Non-employee Directors' Fee Plan or upon the earliest of the date selected by the director on his/her Deferral Election Form; death; or disability.
/s/ Martin A. Traber as Attorney-In-Fact for Andre Julien 02/14/2005
** 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).
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