-----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, G7ECzjslGhdcMGkI6CpJwcR0oxGkk0ri+x14Osh9PTYEq3nGX2NB2lywH/VMW5Ue 6VD6g1MeoRxcr0QecVxWWQ== 0000906318-03-000138.txt : 20030703 0000906318-03-000138.hdr.sgml : 20030703 20030703105054 ACCESSION NUMBER: 0000906318-03-000138 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030627 FILED AS OF DATE: 20030703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BUCKEY ALAN H CENTRAL INDEX KEY: 0001180327 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27610 FILM NUMBER: 03774015 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 ISSUER: 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 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 primary_doc.xml PRIMARY DOCUMENT 4 2003-06-27 0 0001003130 LCA VISION INC LCAV 0001180327 BUCKEY ALAN H 0 1 0 0 Executive VP/Finance, CFO Option (right to buy) 8.88 2003-06-27 4 A 0 15000 0 A 2003-12-27 2013-06-26 Common Stock 15000 15000 D Per the SEC's instructions, this footnote reflects the amount of securities beneficially owned as of the transaction date that would normally be reflected in Table I. The reporting person owns 50,000 shares of common stock directly, 2,950 shares indirectly by his children and 3,000 shares indirectly by his wife. 25% of options become exercisable after six months; 25% after one year; 25% after two years and 25% after three years. /s/ Charles F. Hertlein, Jr. Attorney-in-fact for Alan H. Buckey 2003-07-03 -----END PRIVACY-ENHANCED MESSAGE-----