-----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, WJyc2GA2x1iXcol1EYSV+7xKZ+OMkjPCUTElQPGvD3DD+O9XyFScR0VUKbsfvHHb x0ymZAmGOwCv6VOgQYLCQQ== 0001181431-04-044762.txt : 20040923 0001181431-04-044762.hdr.sgml : 20040923 20040923152604 ACCESSION NUMBER: 0001181431-04-044762 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040921 FILED AS OF DATE: 20040923 DATE AS OF CHANGE: 20040923 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAVIS RICHARD E CENTRAL INDEX KEY: 0001245310 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21001 FILM NUMBER: 041042802 BUSINESS ADDRESS: STREET 1: C/O NMT MEDICAL INC STREET 2: 27 WORMWOOD STREET CITY: BOSTON STATE: MA ZIP: 02210-1625 BUSINESS PHONE: 6177370930 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NMT MEDICAL INC CENTRAL INDEX KEY: 0001017259 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 954090463 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 27 WORMWOOD STREET CITY: BOSTON STATE: MA ZIP: 02210 BUSINESS PHONE: 6177370930 MAIL ADDRESS: STREET 1: 27 WORMWOOD STREET CITY: BOSTON STATE: MA ZIP: 02210 FORMER COMPANY: FORMER CONFORMED NAME: NITINOL MEDICAL TECHNOLOGIES INC DATE OF NAME CHANGE: 19960619 4 1 rrd53200.xml X0202 4 2004-09-21 0 0001017259 NMT MEDICAL INC NMTI 0001245310 DAVIS RICHARD E NMT MEDICAL, INC. 27 WORMWOOD STREET BOSTON MA 02110 0 1 0 0 V.P. & Chief Financial Officer Option (Right To Buy) 3.50 2004-09-21 4 A 0 18000 3.50 D 2005-09-21 2014-09-21 Common Stock 18000 18000 D Vests in equal annual installments over a 4 year period, commencing one year after this option has been granted. /s/ Richard E Davis 2004-09-23 -----END PRIVACY-ENHANCED MESSAGE-----