-----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, QyEAK68Tm7uB4792f0Spsk8Hjphr/cKTu76YieiOvUrYQiVFU8CoUzfdBi9DvQIE eKGMoPD7QuFjf81qQhIhQQ== 0000064892-04-000028.txt : 20040903 0000064892-04-000028.hdr.sgml : 20040903 20040903153206 ACCESSION NUMBER: 0000064892-04-000028 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040901 FILED AS OF DATE: 20040903 DATE AS OF CHANGE: 20040903 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fawzy Christopher CENTRAL INDEX KEY: 0001299623 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31744 FILM NUMBER: 041016882 BUSINESS ADDRESS: BUSINESS PHONE: 805-879-6325 MAIL ADDRESS: STREET 1: 201 MENTOR DRIVE CITY: SANTA BARBARA STATE: CA ZIP: 93111 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MENTOR CORP /MN/ CENTRAL INDEX KEY: 0000064892 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 410950791 STATE OF INCORPORATION: MN FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 201 MENTOR DR CITY: SANTA BARBARA STATE: CA ZIP: 93111 BUSINESS PHONE: 8058796000 MAIL ADDRESS: STREET 1: 201 MENTOR DR CITY: SANTA BARBARA STATE: CA ZIP: 93111 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-09-01 0 0000064892 MENTOR CORP /MN/ /MNT/ 0001299623 Fawzy Christopher 201 MENTOR DRIVE SANTA BARBARA CA 93111 0 1 0 0 General Counsel Common Stock 2004-09-01 2004-09-01 4 M 0 3000 19.01 A 3000 D Common Stock 2004-09-01 2004-09-01 4 M 0 1250 21 A 4250 D Common Stock 2004-09-01 2004-09-01 4 M 0 1500 13.305 A 5750 D Common Stock 2004-09-01 2004-09-01 4 S 0 5100 35.91 D 650 D Common Stock 2004-09-01 2004-09-01 4 S 0 650 36 D 0 D Employee Stock Option, Right to Buy 19.01 2004-09-01 4 M 0 3000 0 A 2003-05-22 2012-05-22 Common Stock 3000 17500 D Employee Stock Option, Right to Buy 21 2004-09-01 4 M 0 1250 0 A 2004-05-21 2013-05-21 Common Stock 1250 16250 D Employee Stock Option, Right to Buy 13.305 2004-09-01 4 M 0 1500 0 A 2002-05-23 2011-05-23 Common Stock 1500 14750 D /s/ Christopher Fawzy 2004-09-03 -----END PRIVACY-ENHANCED MESSAGE-----