-----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, PkH+JLpxboEMK2TbqMoh05kkeMuS724KkD3MTYalrIs7q2kMTaHHAMuUi/9b5aIG Qf+zYb511lo4wXVttzfWhQ== 0000906318-03-000262.txt : 20031211 0000906318-03-000262.hdr.sgml : 20031211 20031211153102 ACCESSION NUMBER: 0000906318-03-000262 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20031209 FILED AS OF DATE: 20031211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HASSEY KEVIN M CENTRAL INDEX KEY: 0001256400 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27610 FILM NUMBER: 031049490 BUSINESS ADDRESS: STREET 1: 6728 FIELDHOUSE WAY CITY: CINCINNATI STATE: OH ZIP: 45227 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 X0201 4 2003-12-09 0 0001003130 LCA VISION INC LCAV 0001256400 HASSEY KEVIN M 6728 FIELDHOUSE WAY CINCINNATI OH 45227 0 1 0 0 President Option (right to buy) 18.29 2003-12-09 4 A 0 15000 0 A 2004-12-09 2013-12-09 Common Stock 15000 125000 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 does not own shares of common stock. 33% of options become exercisable one year from date of grant; 33% of options become exercisable after two years from date of grant; and 33% of options become exercisable after three years from date of grant. /s/ Charles F. Hertlein, Jr. Attorney-in-fact for Kevin M. Hassey 2003-12-11 EX-99 3 hasseypoa.htm POWER OF ATTORNEY LIMITED POWER OF ATTORNEY

LIMITED POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS, that the undersigned, Kevin M. Hassey, does hereby make, constitute and appoint as his lawful attorney-in-fact, Charles F. Hertlein, Jr., whose address is 255 East Fifth Street, Cincinnati, Ohio  45202, for him and stead the full power and authority to sign and file on his behalf Forms 3, 4 and 5 and Schedules 13D and/or 13G (and amendments thereto) disclosing his stock ownership in LCA-Vision Inc. and/or any and all other documents, forms or schedules relating to his stock ownership in LCA-Vision Inc. as required to be filed with the Securities and Exchange Commission and any and all stock exchanges pursuant to the Securities Exchange Act of 1934.

The attorney-in-fact is hereby authorized to do and perform all and every act and thing whatsoever requisite and necessary to be done in connection with the limited powers granted to him or her hereunder, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power and substitution and revocation; hereby ratifying all that the attorney-in-fact shall do, or cause to be done, by virtue hereof.

IN WITNESS WHEREOF, I have hereunto set my hand as of this 21st day of July, 2003.




/s/ Kevin M. Hassey







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