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
 
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1. Name and Address of Reporting Person*
RIVERA LUPE M

(Last) (First) (Middle)
C/O EXELIXIS, INC.
170 HARBOR WAY, PO BOX 511

(Street)
SOUTH SAN FRANCISCO CA 94083-0511

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/15/2005
3. Issuer Name and Ticker or Trading Symbol
EXELIXIS INC [ EXEL ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP, Human Resources
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 553.1222(1) I By 401(K) plan
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
Stock Option (Right to Buy) 02/01/2002(2) 01/31/2012 Common Stock 25,000 12.25 D
Stock Option (Right to Buy) 12/20/2002(2) 12/19/2012 Common Stock 3,750 7.85 D
Stock Option (Right to Buy) 06/01/2003(2) 05/31/2013 Common Stock 5,000 8.15 D
Stock Option (Right to Buy) 01/02/2004(2) 01/01/2014 Common Stock 20,000 7.05 D
Stock Option (Right to Buy) 08/01/2004(2) 07/31/2014 Common Stock 20,000 7.92 D
Stock Option (Right to Buy) 12/13/2005(2) 12/12/2014 Common Stock 45,000 8.92 D
Explanation of Responses:
1. The securities represent shares in the Exelixis stock fund based on a plan statement dated as of February 22, 2005.
2. Twenty-Five percent (25%) of the shares subject to the option vest on the first anniversary of the date of grant and 1/48th vest monthly thereafter.
Remarks:
Lupe M. Rivera 02/24/2005
** 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.
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