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*
Michael A Kelly

(Last) (First) (Middle)
ONE AMGEN CENTER DRIVE

(Street)
THOUSAND OAKS CA 91320-1799

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/10/2005
3. Issuer Name and Ticker or Trading Symbol
AMGEN INC [ AMGN ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP Corp Plng & Control & CAO
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(1) 4,800 D
Common Stock 50 I Michael & Bonnie Kelly Family 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
ISO (Right to buy) 02/10/2004(2) 02/10/2010 Common Stock 3,774 52.98 D
ISO (Right to buy) 03/15/2009 03/15/2011 Common Stock 1,681 59.48 D
ISO (Right to buy) 07/01/2008 07/01/2010 Common Stock 1,518 65.85 D
NQSO (Right to Buy) 02/10/2004(3) 02/10/2010 Common Stock 27,452 52.98 D
NQSO (Right to Buy) 03/16/2005(4) 03/16/2012 Common Stock 8,500 58.61 D
NQSO (Right to Buy) 03/15/2005(5) 03/15/2011 Common Stock 9,851 59.48 D
NQSO (Right to Buy) 07/01/2004(6) 07/01/2010 Common Stock 14,482 65.85 D
Explanation of Responses:
1. Of the total, 4,700 shares were issued pursuant to Amended and Restated 1991 Equity Incentive Plan.
2. This option is exercisable on February 10, 2006 for 1,887 shares and on February 10, 2007 for 1,887 shares.
3. (MAK 2.10.03) This option is exercisable in four equal installments each beginning February 10, 2004.
4. (MAK 3.15.05) This option is exercisable in four equal installments beginning March 15, 2006.
5. (MAK 3.15.04) This option is exercisable as follows: 2,306 shares each on March 15, 2005 and on March 15, 2006; 2,307 shares on March 15, 2007; 2,306 shares on March 15, 2008; and 626 shares on March 15, 2009.
6. (MAK 7.1.03) This option is exercisable in four equal installments of 3,200 beginning July 1, 2004 and a final installment on July 1, 2008 of 1, 682 shares.
/s/ Michael A. Kelly 08/10/2005
** 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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