0001225208-12-012381.txt : 20120515 0001225208-12-012381.hdr.sgml : 20120515 20120515144725 ACCESSION NUMBER: 0001225208-12-012381 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120511 FILED AS OF DATE: 20120515 DATE AS OF CHANGE: 20120515 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WITMER THOMAS H CENTRAL INDEX KEY: 0001187334 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15579 FILM NUMBER: 12843633 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MINE SAFETY APPLIANCES CO CENTRAL INDEX KEY: 0000066570 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 250668780 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 121 GAMMA DR STREET 2: OHARA TOWNSHIP CITY: PITTSBURGH STATE: PA ZIP: 15238 BUSINESS PHONE: 4129673000 MAIL ADDRESS: STREET 1: P O BOX 426 CITY: PITTSBURGH STATE: PA ZIP: 15230 4 1 doc4.xml X0305 4 2012-05-11 0000066570 MINE SAFETY APPLIANCES CO MSA 0001187334 WITMER THOMAS H 1000 CRANBERRY WOODS DRIVE CRANBERRY TOWNSHIP PA 1 Common Stock, no par value 2012-05-11 4 A 0 1217.0000 0.0000 A 34141.0000 D Non-statutory Stock Option 42.5400 2012-05-11 4 A 0 2675.0000 42.5400 A 2015-05-11 2022-05-11 Common Stock, no par value 2675.0000 2675.0000 D Douglas K. McClaine, Attorney in Fact 2012-05-15