0001181431-12-000797.txt : 20120104 0001181431-12-000797.hdr.sgml : 20120104 20120104165828 ACCESSION NUMBER: 0001181431-12-000797 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111230 FILED AS OF DATE: 20120104 DATE AS OF CHANGE: 20120104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Heizer Edgar F III CENTRAL INDEX KEY: 0001456671 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27610 FILM NUMBER: 12507024 MAIL ADDRESS: STREET 1: 7840 MONTGOMERY ROAD CITY: CINCINNATI STATE: OH ZIP: 45236 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 rrd329757.xml X0304 4 2011-12-30 0 0001003130 LCA VISION INC LCAV 0001456671 Heizer Edgar F III 7840 MONTGOMERY ROAD CINCINNATI OH 45236 1 0 0 0 Common Stock 2011-12-30 4 A 0 1724 0 A 36610 D /s/ Donn A. Kremmel, attorney-in-fact for Edgar F. Heizer, III 2012-01-04