-----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, QsQIVt/Q/mydpRbJbIg3666eSw8yc+uuwdK+bOECNqxHL3pzRGLJA+jOzD3kQzcZ 4vx3SF0OJw2q9miXSY86EA== 0000906318-03-000071.txt : 20030401 0000906318-03-000071.hdr.sgml : 20030401 20030401112844 ACCESSION NUMBER: 0000906318-03-000071 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030331 FILED AS OF DATE: 20030401 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: BUCKEY ALAN H CENTRAL INDEX KEY: 0001180327 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 8533 TWILIGHT TEAR LANE CITY: CINCINNATI STATE: OH ZIP: 45249 MAIL ADDRESS: STREET 1: 8533 TWILIGHT TEAR LANE CITY: CINCINNATI STATE: OH ZIP: 45249 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: 03633140 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 4 1 buckey3314103.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*


Buckey

Alan

H.

2.  Issuer Name and Ticker or Trading Symbol


LCA-Vision Inc. (LCAV)

6.  Relationship of Reporting Person(s) to Issuer

(Check all applicable)


             Director

                  10% Owner

     X      Officer (give title below)

               Other (specify below)


Executive Vice President/Finance, Chief Financial

Officer

(Last)

(First)

(Middle)



8533 Twilight Tear Lane

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


4.  Statement for Month/Day/Year


3/31/2003 and 4/1/2003

(Street)




Cincinnati

OH

45249

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

03/31/2003

 

P

 

2,950

A

$3.34

2,950

I

By Children

Common Stock

04/01/2003

 

P

 

1,188

A

$3.33

 

I

By Spouse

Common Stock

04/01/2003

 

P

 

1,812

A

$3.34

3,000

I

By Spouse

        

50,000

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

  

60,000

D

 
                
                
                
                
                
                
                

Explanation of Responses:





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

/s/ Charles F. Hertlein, Jr.

4/1/03

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

**Signature of Reporting Person

Date

Alan H. Buckey

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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