0001225208-11-014756.txt : 20110518 0001225208-11-014756.hdr.sgml : 20110518 20110518145017 ACCESSION NUMBER: 0001225208-11-014756 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110516 FILED AS OF DATE: 20110518 DATE AS OF CHANGE: 20110518 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PEARSE DIANE M CENTRAL INDEX KEY: 0001283417 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15579 FILM NUMBER: 11854632 MAIL ADDRESS: STREET 1: P O BOX 426 CITY: PITTSBURGH STATE: PA ZIP: 152300426 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MINE SAFETY APPLIANCES CO CENTRAL INDEX KEY: 0000066570 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 250668780 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 121 GAMMA DR STREET 2: OHARA TOWNSHIP CITY: PITTSBURGH STATE: PA ZIP: 15238 BUSINESS PHONE: 4129673000 MAIL ADDRESS: STREET 1: P O BOX 426 CITY: PITTSBURGH STATE: PA ZIP: 15230 4 1 doc4.xml X0303 4 2011-05-16 0000066570 MINE SAFETY APPLIANCES CO MSA 0001283417 PEARSE DIANE M 121 GAMMA DRIVE RIDC INDUSTRIAL PARK PITTSBURGH PA 15238 1 Common Stock, no par value 2011-05-16 4 A 0 1386.0000 0.0000 A 11066.0000 D Non-statutory Stock Option 37.3300 2011-05-16 4 A 0 2969.0000 37.3300 A 2014-05-16 2021-05-16 Common Stock, no par value 2969.0000 2969.0000 D Douglas K. McClaine, Attorney in Fact 2011-05-18