FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
MEDICAL ACTION INDUSTRIES INC [ MDCI ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 09/06/2007 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock, $.001 Par Value | 09/06/2007 | M | 20,000 | A | $10.33 | 36,875 | D | |||
Common Stock, $.001 Par Value | 09/06/2007 | S(1) | 20,000 | D | $23.55 | 16,875 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
1994 Stock Incentive Plan (Right to Buy) | $10.33 | 09/06/2007 | M | 20,000 | (1) | 08/09/2014 | Common Stock | 20,000 | (2) | 55,000 | D | ||||
1994 Stock Incentive Plan (Right to Buy) | $11.79 | 08/08/2005 | A | 37,500 | (1) | 08/08/2015 | Common Stock | 37,500 | (3) | 37,500 | D | ||||
1994 Stock Incentive Plan (Right to Buy) | $21.67 | 05/22/2007 | A | 25,000 | (1) | 05/22/2017 | Common Stock | 25,000 | $21.67 | 25,000 | D |
Explanation of Responses: |
1. All options become exercisable within three (3) years after grant date, or sooner under certain circumstances. |
2. The Reporting Person's 50,000 stock options, at the exercise price of $15.50, were granted on 08/09/2004. As a result of a stock split, which was paid on 2/9/07, the number of options has been adjusted to 75,000 and the exercise price has decreased to $10.33. |
3. The Reporting Person's 25,000 stock options, at the exercise price of $17.68, were granted on 08/08/2005. As a result of a stock split, which was paid on 2/9/07, the number of options has been adjusted to 37,500 and the exercise price has decreased to $11.79. |
/s/ Manuel B. Losada | 09/07/2007 | |
** 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 4 (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. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |