-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, IBW8nm9vbwdk5A0Htq1F/owqkpYXVsZqJT0HTZI7v6Forv0yNe8NSaI75iXRkqFF CeOTqdHLDaSzPfR9q89aMg== 0001144204-09-045467.txt : 20090825 0001144204-09-045467.hdr.sgml : 20090825 20090825112005 ACCESSION NUMBER: 0001144204-09-045467 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090821 FILED AS OF DATE: 20090825 DATE AS OF CHANGE: 20090825 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SPAN AMERICA MEDICAL SYSTEMS INC CENTRAL INDEX KEY: 0000718924 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 570525804 STATE OF INCORPORATION: SC FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 70 COMMERCE DR STREET 2: P O BOX 5231 CITY: GREENVILLE STATE: SC ZIP: 29615 BUSINESS PHONE: 8642888877 MAIL ADDRESS: STREET 1: 70 COMMERCE DR STREET 2: PO BOX 5231 CITY: GREENVILLE STATE: SC ZIP: 29606 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HENRION THOMAS D CENTRAL INDEX KEY: 0001109539 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11392 FILM NUMBER: 091033088 MAIL ADDRESS: STREET 1: 2005 INDIAN CHUTE CITY: INDIAN HILLS STATE: KY ZIP: 40207 4 1 form424996_082509111941-.xml X0303 4 2009-08-21 0 0000718924 SPAN AMERICA MEDICAL SYSTEMS INC SPAN 0001109539 HENRION THOMAS D 70 COMMERCE CENTER GREENVILLE SC US 29615 1 0 0 0 Common Stock 2009-08-21 4 P 0 300 10.82 A 153944 D Common Stock 2009-08-21 4 P 0 200 10.92 A 154144 D Common Stock 2009-08-21 4 P 0 300 10.85 A 6000 I By spouse Richard C. Coggins, POA 2009-08-25 -----END PRIVACY-ENHANCED MESSAGE-----