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