-----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, QCRP7MPqm16yyhbVl/+zHqjGKp8m4WkZVj/3bSuW9fudNx9FrNXytd2SoEmgeYys 191XuQGmj1pp+CPak1sY2w== 0001014196-02-000004.txt : 20020414 0001014196-02-000004.hdr.sgml : 20020414 ACCESSION NUMBER: 0001014196-02-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020130 FILED AS OF DATE: 20020208 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-07955 FILM NUMBER: 02530976 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 COMPANY DATA: COMPANY CONFORMED NAME: YOUNG RICHARD CENTRAL INDEX KEY: 0001014196 DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 201 MENTOR DRIVE` CITY: SANTA BARBARA STATE: CA ZIP: 93111 BUSINESS PHONE: 8058796000 4 1 form4young.htm FORM 4 FOR RICHARD YOUNG Form 4 - Courtesy of e-Services, LLC - www.edgar2.net

FORM 4

 

__ Check this box if no longer 
     subject to Section 16. Form 4
     or Form 5 obligations may 
     continue. See Instruction 1(b).

     (Print or Type Responses)

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940

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1.  Name and Address of Reporting Person*

Richard W. Young

2.  Issuer Name and Tickler or Trading Symbol

Mentor Corporation (MNTR)

6.  Relationship of Reporting Person(s) to Issuer

(Check all applicable)

_X__   Director                              ___ 10% Owner

___  Officer (give title below)     ___Other (specify below)

___Outside Director_______________________________

(Last)     (First)     (Middle)

201 Mentor Drive

3. I.R.S. Identification
    Number of Reporting
    Person, if an entity
    (voluntary)

4.  Statement for Month/Year

January 2002

(Street)

Santa Barbara, CA 93111

5.  If Amendment, Date of
 Original (Month/Year)

7.  Individual or Joint/Group Filing (Check Applicable Line)

_X__ Form filed by One Reporting Person

___ Form filed by More than One Reporting Person

(City)     (State)     (Zip)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1.  Title of Security
   (Instr. 3)

2.  Transaction Date
(Month/Day/Year)

3. Transaction Code
   (Instr. 8)

4. Securities  Acquired  (A)
    or Disposed of (D)
    (Instr. 3, 4 and 5)

5.  Amount of Securities
    Beneficially Owned
    at End of Month
    (Instr. 3 and 4)

6.  Ownership
   Form: Direct
   (D) or
    Indirect (I)
    (Instr. 4)

7.  Nature of
   Indirect
   Beneficial
   Ownership
   (Instr. 4)

Code

V

Amount

(A) or (D)

Price

  Common Stock

 1/29/02

  G

  750

 D

  

  28.91

  

  

  

  

  Common Stock

  1/29/02

  G

 750

  D

  

  28.91

  25,000

  

  D

  -

 

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

1.Title of
   Derivative
   Security
   (Instr.3)

2.Conversion or
 Exercise Price of
 Derivative Security

3.Transaction Date
(Month/Day/Year)

4.Transaction Code
   (Instr. 8)

5.Number of Derivative
   Securities Acquired
   (A) or Disposed of (D)
   (Instr. 3, 4 and 5)

6.Date Exerciseable
   and Expiration  Date
  (Month/Day/Year)

7.Title and  Amount of
   Underlying Securities
   (Instr. 3 and 4)

8.Price of
   Derivative
   Security
   (Instr. 5)

9.Number  of
   Derivative
   Securities
    Beneficially
    Owned at
    End of Month
    (Instr. 4)

10.Ownership
     Form of
     Derivative
     Securities
     Beneficially
     Owned at
     End of Month
     (Instr. 4)

11.Nature  of
     Indirect
     Beneficial
     Ownership
     (Instr. 4)

Code

V

(A)

(D)

Date Exercisable

Expiration Date

Title

Amount or Number of Shares

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

 

Explanation of Responses:
Chart 1:  shares acquired on 11/8/90 at $8.54. 

 

 /s/Adel Michael, Executive Vice President, Chief Financial Officer
**Signature of Reporting Person

                                                     
Date

 

Reminder:

Report on a separate line for each class of securities beneficially owned directly or indirectly.

*

If the form is filed by more than one reporting person, see Instruction 4(b)(v).

**

Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note:

File three copies of this Form, on of which must be manually signed. If space is insufficient, see Instruction 6 for procedure

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