-----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, L7V/505dZv6ydaT+vSespsZRn/fwFK7Fm1blVybBcfbOQia0ThFhkipsG307+yTf VAnpAE1rw/q1T55bzMY80w== 0001181431-04-049464.txt : 20041029 0001181431-04-049464.hdr.sgml : 20041029 20041029102749 ACCESSION NUMBER: 0001181431-04-049464 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041027 FILED AS OF DATE: 20041029 DATE AS OF CHANGE: 20041029 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: 041104564 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 rrd55944.xml FORM 4 FILING FOR AN OPTION EXERCISE ON 10/27/04 X0202 4 2004-10-27 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 Common Stock 2004-10-27 4 M 0 10625 1.25 A 103345 D Common Stock 2004-10-27 4 M 0 1875 1.76 A 105220 D Option (Right To Buy) 1.25 2004-10-27 4 M 0 10625 1.25 D 2011-02-13 Common Stock 10625 8854 D Option (Right To Buy) 1.76 2004-10-27 4 M 0 1875 1.76 D 2011-03-15 Common Stock 1875 1875 D Includes 2,593 shares from the Company's ESPP that were acquired since the last beneficial ownership statement was reported. Vests in equal monthly installments over a 4 year period, commencing one month after this option has been granted. Vests in equal annual installments over a 4 year period, commencing one year after this option has been granted. /s/ Richard E. Davis 2004-10-29 -----END PRIVACY-ENHANCED MESSAGE-----