-----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, G1MXzCjdJHv8m1kLubn9muGfIYlOZU1RcYx35vhgek/KYzozpKqPCCS9zwa0JGEC p0CEmxrUopz/03lH7kYdXg== 0000727008-04-000017.txt : 20040217 0000727008-04-000017.hdr.sgml : 20040216 20040217171747 ACCESSION NUMBER: 0000727008-04-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040217 FILED AS OF DATE: 20040217 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EZ EM INC CENTRAL INDEX KEY: 0000727008 STANDARD INDUSTRIAL CLASSIFICATION: IN VITRO & IN VIVO DIAGNOSTIC SUBSTANCES [2835] IRS NUMBER: 111999504 STATE OF INCORPORATION: DE FISCAL YEAR END: 0529 BUSINESS ADDRESS: STREET 1: 717 MAIN ST CITY: WESTBURY STATE: NY ZIP: 11590 BUSINESS PHONE: 5163338230 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GAGO AGUSTIN V CENTRAL INDEX KEY: 0001235636 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 333-100878 FILM NUMBER: 04610215 BUSINESS ADDRESS: STREET 1: C/O E-Z EM INC STREET 2: 1111 MARCUS AVE CITY: LAKE SUCCESS STATE: NY ZIP: 11042 BUSINESS PHONE: 5167975441 MAIL ADDRESS: STREET 1: 256 JERUSALEM AVE CITY: MASSAPEQUA STATE: NY ZIP: 11758 4 1 gag51.xml X0201 4 2004-02-17 0 0000727008 EZ EM INC EZM 0001235636 GAGO AGUSTIN V 1111 MARCUS AVENUE SUITE LL-26 LAKE SUCCESS NY 110421034 0 1 0 0 VP - Global Contrast Business Common Stock 2004-02-17 4 M 0 2185 8.58 A 2185 D Common Stock 2004-02-17 4 S 0 2185 18.53 D 0 D Common Stock Option 8.5795 2004-02-17 4 M 0 2185 0 D 1996-12-11 2005-12-10 Common Stock 2185 0 D Common Stock Option 6.0000 1999-09-03 2008-09-02 Common Stock 17727 17727 D Common Stock Option 5.6250 2000-07-29 2009-07-28 Common Stock 5000 5000 D Options granted under E-Z-EM's Employee Stock Option Plan. Options are exercisable 1/3 per year commencing July 29, 2000. By: Joseph A. Cacchioli, as Attorney-In-Fact 2004-02-17 -----END PRIVACY-ENHANCED MESSAGE-----