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*
WILLIAMS DAVID PATRICK

(Last) (First) (Middle)
SUITE 2600, 255 EAST 5TH STREET

(Street)
CINCINNATI OH 45202

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/05/2004
3. Issuer Name and Ticker or Trading Symbol
ROTO-ROOTER INC [ RRR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President & CFO
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)
Capital Stock 8,000 D
Capital Stock 800 I IRA
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 w/ tandem tax witholding right) 05/15/1998 05/15/2005 Capital Stock 1,500 32.19 D
stock option (right to buy w/ tandem tax witholding right) 05/19/1999 05/19/2007 Capital Stock 2,000 35.94 D
stock option (right to buy with tandem tax withholding right 05/20/1998 05/20/2006 capital stock 3,000 38.75 D
stock option (right to buy with tandem tax withholding right 03/04/2000 03/04/2008 capital stock 4,000 39.13 D
stock option (right to buy with tandem tax withholding right 05/17/2001 05/17/2009 capital stock 12,000 32.19 D
stock option (right to buy with tandem tax withholding right 05/20/2004(1) 05/20/2012 capital stock 9,000 36.9 D
stock option (right to buy with tandem tax withholding right 11/19/2003(2) 05/19/2003 capital stock 10,000 35.85 D
Explanation of Responses:
1. 9,000 granted, exercisable 4,500 currently, 2,250 on 11/20/04, 2,250 on 11/20/05
2. 10,000 granted, exercisable 2,500 currently, 2,500 on 11/19/04, 2,500 on 11/19/05, 2,500 on 11/19/06
David P. Williams 03/10/2004
** 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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