-----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, NY5+gE5hSUTMuZp8p/QGESTZbuDKSPFt4U3xHOWVckgdtX6++Mz99SFR4Oe2F+V0 L23THOTRL5WSdr97KQqXDQ== 0001209191-04-048560.txt : 20041015 0001209191-04-048560.hdr.sgml : 20041015 20041015161629 ACCESSION NUMBER: 0001209191-04-048560 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040831 FILED AS OF DATE: 20041015 DATE AS OF CHANGE: 20041015 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAWKESWORTH SIMON CENTRAL INDEX KEY: 0001267932 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10078 FILM NUMBER: 041081283 MAIL ADDRESS: STREET 1: 1495 STEIGER LAKE LANE CITY: VICTORIA STATE: MN ZIP: 85386 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HEI INC CENTRAL INDEX KEY: 0000351298 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 410944876 STATE OF INCORPORATION: MN FISCAL YEAR END: 0831 BUSINESS ADDRESS: STREET 1: 1495 STEIGER LAKE LN STREET 2: P O BOX 5000 CITY: VICTORIA STATE: MN ZIP: 55386 BUSINESS PHONE: 9524432500 MAIL ADDRESS: STREET 1: P O BOX 5000 STREET 2: 1495 STEIGER LAKE LANE CITY: VICTORIA STATE: MN ZIP: 55386 5 1 doc5.xml FORM 5 SUBMISSION X0202 5 2004-08-31 0 0 1 0000351298 HEI INC HEII 0001267932 HAWKESWORTH SIMON PO BOX 5000 1495 STEIGER LAKE LANE VICTORIA MN 55386 0 1 0 0 VP of Sales and Marketing Stock Option (Right to Buy) 1.87 2003-03-20 4 A 0 L 20000 0.00 A 2004-03-20 2013-03-20 Common Stock 20000 20000 D Stock Option (Right to Buy) 4.38 2003-08-25 4 A 0 L 55000 0.00 A 2004-08-25 2013-08-25 Common Stock 55000 75000 D The shares will vest and become exercisable in three annual installments on March 20, 2004, 2005 and 2006. The shares will vest and become exercisable in three annual installments on August 25, 2004, 2005 and 2006. /s/ Douglas J. Nesbit - Attorney in Fact 2004-10-15 -----END PRIVACY-ENHANCED MESSAGE-----