FORM 3
UNITED STATES SECURITIES AND EXCHANGE COMMISSION -------------------------------
WASHINGTON D.C. 20549 OMB
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OMB Number: 3235-0104
Expires: December 31, 2001
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Estimated average burden.. .0.5
hours per response
Filed pursuant to Section 16(a) of the Security Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935 -------------------------------
or Section 30(f) of the Investment Company Act of 1940
(Print or Type Responses)
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1. Name of Address of 2. Date of Event 4. Issuer Name and Ticker or Trading Symbol
Reporting Person* Requiring Statement
Mouly Daniel (Month/Day/Year) VASCO Data Security International, Inc. (VDSI)
04/25/01
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(Last) (First) (Middle)
16 rue de l'Arsenal
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(Street) 3. I.R.S. Identification 5. Relationship of Reporting Person (s) to 6. If Amendment, Date of
Number of Reporting Issuer Original (Month/Day/Year)
Person, if an entity (Check all applicable) 7. Individual or Joint/Group
(voluntary) ____ Director ____ 10% Owner Filing (Check Applicable
__X_ Officer (give ____ Other (specify Line
title below) __X__ Form filed by One
Reporting Person
_____ Form filed by More One
Reporting Person
Executive Vice President and
Bordeaux, France 33000 Chief Technology Officer
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(City) (State) (Zip) TABLE I - NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect
(Instr. 4) Beneficially Owned Form: Direct Beneficial Ownership
(Instr. 4) (D) or indirect
(I) (Instr. 5)
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COMMON STOCK 123,239 D
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Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
* If the form is filled by more than one reporting person, See Instruction
5(b)(v).
POTENTIAL PERSONS WHO ARE TO RESPOND TO THE COLLECTION OF
INFORMATION CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND
UNLESS THE FORM DISPLAYS A CURRENTLY OMB CONTROL NUMBER.
(OVER)
SEC 1473 (3-99)
FORM 3 (CONTINUED)
TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G. PUTS, CALLS, WARRANTS,
OPTIONS, CONVERTIBLE SECURITIES)
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1. Title of Derivative Security 2. Date Exer- 3. Title and Amount of 4. Conver- 5. Owner- 6. Nature of Indirect
(Instr. 4 cisable and Securities Underlying sion Ship Beneficial Ownership
Expiration Derivative Security or Form of (Instr. 5)
Date (Instr. 4) Exercisee Derivative
(Month/Day/Year) Price of Security:
Deri- Direct
vative (D) or
Security Indirect
(I)
(Instr.5)
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Date Expira- Amount
Exer- Tion Title Or
Cisable Date Number of
Shares
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INCENTIVE STOCK OPTIONS 11/18/00(1) 11/18/09 COMMON 40,000 $3.00 D
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Explanation of Responses:
(1) Options vest in four equal installments beginning on the anniversary of the
grant date.
/s/ Daniel Mouly April 25, 2001
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** Signature of Reporting Person Date
** 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.
Potential persons who are to respond to the collection of information contained
in this form are not Required to respond unless the form displays a currently
valid OMB Number.
