0001171843-12-003920.txt : 20121102 0001171843-12-003920.hdr.sgml : 20121102 20121102161629 ACCESSION NUMBER: 0001171843-12-003920 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121030 FILED AS OF DATE: 20121102 DATE AS OF CHANGE: 20121102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHAPMAN PAUL CENTRAL INDEX KEY: 0001195425 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13251 FILM NUMBER: 121176977 MAIL ADDRESS: STREET 1: 4717 ADAMS ROAD CITY: HIXSON STATE: TN ZIP: 37343 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MEDICAL ACTION INDUSTRIES INC CENTRAL INDEX KEY: 0000748270 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 112421849 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 500 EXPRESSWAY DRIVE SOUTH CITY: BRENTWOOD STATE: NY ZIP: 11717 BUSINESS PHONE: 6312314600 MAIL ADDRESS: STREET 1: 500 EXPRESSWAY DRIVE SOUTH CITY: BRENTWOOD STATE: NY ZIP: 11717 3 1 form3.xml INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES X0206 3 2012-10-30 1 0000748270 MEDICAL ACTION INDUSTRIES INC MDCI 0001195425 CHAPMAN PAUL 500 EXPRESSWAY DRIVE SOUTH BRENTWOOD NY 11717 1 0 0 0 /s/ Paul Chapman 2012-11-02