-----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, SFAWzPypcB9hIP5LsKm1mjDivSY9jt+km8H/T7aoLCSr4wjand/EKqHzz85CdWu2 fkgWaxWFFpAWn7epLTkUBw== 0000906318-03-000053.txt : 20030313 0000906318-03-000053.hdr.sgml : 20030313 20030313113216 ACCESSION NUMBER: 0000906318-03-000053 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030312 FILED AS OF DATE: 20030313 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: LCA VISION INC CENTRAL INDEX KEY: 0001003130 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 112882328 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27610 FILM NUMBER: 03601887 BUSINESS ADDRESS: STREET 1: 7840 MONTGOMERY RD CITY: CINCINNATI STATE: OH ZIP: 45236 BUSINESS PHONE: 5137929292 MAIL ADDRESS: STREET 1: 7840 MONTGOMERY ROAD CITY: CINCINNATI STATE: OH ZIP: 45236 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: COLEMAN WILLIAM O CENTRAL INDEX KEY: 0001180324 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 31 HALFWAY RD CITY: KEY LARGO STATE: FL ZIP: 33037 BUSINESS PHONE: 3053670037 MAIL ADDRESS: STREET 1: 31 HALFWAY RD CITY: KEY LARGO STATE: FL ZIP: 33037 4 1 coleman31203.htm FORM 4

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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940


OMB Approval            

OMB Number: 3235-0287

Expires: January 31, 2005

Estimated average burden hours per response….0.5


       Check this box if no longer subject to Section 16.  Form 4 or Form 5 obligations may continue.  See Instruction 1(b).

 


(Print or Type Responses)

  

1.  Name and Address of Reporting Person*


Coleman

William

O.

2.  Issuer Name and Ticker or Trading Symbol


LCA-Vision Inc. (LCAV)

6.  Relationship of Reporting Person(s) to Issuer

(Check all applicable)


       X     Director

                  10% Owner

              Officer (give title below)

               Other (specify below)



(Last)

(First)

(Middle)



2 Noel Lane

3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary)


4.  Statement for Month/Day/Year


03/12/2003

(Street)




Cincinnati

OH

45243

5.  If Amendment, Date of Original Month/Day/Year


7.  Individual or Joint/Group Filing (Check Applicable Line)

       X      Form filed by One Reporting Person

                Form filed by More than One Reporting Person

(City)

(State)

(Zip)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security

     (Inst. 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 Transactions(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

03/12/2003

 

P

 

1,250

A

$3.069

1,750(1)

I

By Trust(2)

Common Stock

       

62,750(1)

D

 
           
           
           
           

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).


Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.  


TABLE II - Derivative Securities Acquired, Disposed of, or Beneficially Owned

(e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security (Instr. 3)

2. Conversion or Exercise Price of Derivative Security

3. Trans-action Date (Month/

Day/Yr)

3A. Deemed Execution Date, if any (Month/

Day/Yr)

4. Trans-action 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/Yr)

7. Title and Amount of Underlying Securities (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 of Derivative Security Direct (D) or Indirect (I) (Instr. 4)

11. Nature of Indirect Beneficial Ownership (Instr. 4)

    

Code

V

(A)

(D)

Date Exer-cisable

Expir-ation Date

Title

Amount or Number of Shares

    
          

Common Stock

  

28,438

D

 
                
                
                
                
                
                
                

Explanation of Responses:

(1) Total reflects a 4 for 1 reverse stock split effective in 2002.

(2) These shares are held in trust for the benefit of the reporting person, who is a trustee of the trust.



  /s/ Charles F. Hertlein, Jr.,

**Intentional misstatements or omissions of facts constitute Federal Criminal Violations

  Attorney in fact for William O. Coleman

3/13/03      

See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a)

  **Signature of Reporting Person

Date

  William O. Coleman

Note:  File three copies of this Form, one of which must be manually signed.  If space is insufficient,  By: Charles F. Hertlein, Jr.

see Instruction 6 for procedure.

   Attorney-in-fact

   

Potential persons who are to respond to the collection of information contained in this form are not

   

required to respond unless the form displays a currently valid OMB Number.



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