-----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, FN7KK5Q7Wag0PzhOKBiieeqGQOw1t2pFj2yId8ljbOVN5QVym7PO+dOk18+oePI0 rOqi+UYDhTPPqGuVVSmZZA== 0000727008-04-000041.txt : 20040512 0000727008-04-000041.hdr.sgml : 20040512 20040512121453 ACCESSION NUMBER: 0000727008-04-000041 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040511 FILED AS OF DATE: 20040512 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: BLOOMFIELD ROBERT M CENTRAL INDEX KEY: 0001235650 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 333-100878 FILM NUMBER: 04798347 BUSINESS ADDRESS: STREET 1: C/O E-Z EM INC STREET 2: 1111 MARCUS AVE CITY: LAKE SUCCESS STATE: NY ZIP: 11042 BUSINESS PHONE: 5164872579 MAIL ADDRESS: STREET 1: 130 MAPLE ST CITY: GREAT NECK STATE: NY ZIP: 11023 4 1 blo72.xml X0202 4 2004-05-11 0 0000727008 EZ EM INC EZM 0001235650 BLOOMFIELD ROBERT M 1111 MARCUS AVENUE SUITE LL-26 LAKE SUCCESS NY 110421034 0 1 0 0 VP - Market Research Common Stock 2004-05-11 4 M 0 9890 4.22 A 9890 D Common Stock Option 4.2203 2004-05-11 4 M 0 9890 0 D 1995-07-27 2004-07-26 Common Stock 9890 0 D Options granted under E-Z-EM's Employee Stock Option Plan. Options are exercisable 50% per year commencing July 27, 1995. By: Joseph A. Cacchioli, as Attorney-In-Fact 2004-05-12 -----END PRIVACY-ENHANCED MESSAGE-----