0001225208-13-004988.txt : 20130221 0001225208-13-004988.hdr.sgml : 20130221 20130221163634 ACCESSION NUMBER: 0001225208-13-004988 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130220 FILED AS OF DATE: 20130221 DATE AS OF CHANGE: 20130221 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McMahan Stacy Powell CENTRAL INDEX KEY: 0001563408 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15579 FILM NUMBER: 13630863 MAIL ADDRESS: STREET 1: 1000 CRANBERRY WOODS DRIVE CITY: CRANBERRY TOWNSHIP STATE: PA ZIP: 16066 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 X0306 4 2013-02-20 0000066570 MINE SAFETY APPLIANCES CO MSA 0001563408 McMahan Stacy Powell 1000 CRANBERRY WOODS DRIVE CRANBERRY WOODS TOWNSHIP PA 16066 1 Senior Vice President Common Stock, no par value 2013-02-20 4 A 0 2129.0000 0.0000 A 10895.0000 D Incentive Stock Option 48.9500 2013-02-20 4 A 0 2042.0000 48.9500 A 2016-02-20 2023-02-20 Common Stock, no par value 2042.0000 2042.0000 D Non-statutory Stock Option 48.9500 2013-02-20 4 A 0 5367.0000 48.9500 A 2016-02-20 2023-02-20 Common Stock, no par value 5367.0000 5367.0000 D Douglas K. McClaine, Attorney in Fact 2013-02-21