0001567227-13-000001.txt : 20130117 0001567227-13-000001.hdr.sgml : 20130117 20130117205647 ACCESSION NUMBER: 0001567227-13-000001 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130107 FILED AS OF DATE: 20130117 DATE AS OF CHANGE: 20130117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kappen Amy F. CENTRAL INDEX KEY: 0001567227 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27610 FILM NUMBER: 13536092 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 3 1 primary_doc.xml PRIMARY DOCUMENT X0206 3 2013-01-07 0 0001003130 LCA VISION INC LCAV 0001567227 Kappen Amy F. 7840 MONTGOMERY ROAD CINCINNATI OH 45236 0 1 0 0 Chief Financial Officer Common Stock 10000 D Includes unvested time-based restricted stock unit awards under the Company's Stock Incentive Plan. /s/ Bridget C. Hoffman, attorney-in-fact for Amy F. Kappen 2013-01-17