0000075252-13-000067.txt : 20130701 0000075252-13-000067.hdr.sgml : 20130701 20130701152326 ACCESSION NUMBER: 0000075252-13-000067 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130628 FILED AS OF DATE: 20130701 DATE AS OF CHANGE: 20130701 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: OWENS & MINOR INC/VA/ CENTRAL INDEX KEY: 0000075252 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 541701843 STATE OF INCORPORATION: VA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9120 LOCKWOOD BLVD CITY: MECHANICSVILLE STATE: VA ZIP: 23116 BUSINESS PHONE: 8047237000 MAIL ADDRESS: STREET 1: 9120 LOCKWOOD BLVD CITY: MECHANICSVILLE STATE: VA ZIP: 23116 FORMER COMPANY: FORMER CONFORMED NAME: O&M HOLDING INC DATE OF NAME CHANGE: 19940504 FORMER COMPANY: FORMER CONFORMED NAME: OWENS & MINOR INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: OWENS MINOR & BODEKER INC DATE OF NAME CHANGE: 19811124 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FOGG RICHARD E CENTRAL INDEX KEY: 0001223762 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09810 FILM NUMBER: 13944400 MAIL ADDRESS: STREET 1: C/O OWENS & MINOR STREET 2: 4800 COX RD. CITY: GLEN ALLEN STATE: VA ZIP: 23060 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2013-06-28 0000075252 OWENS & MINOR INC/VA/ OMI 0001223762 FOGG RICHARD E C/O OWENS & MINOR, INC. 9120 LOCKWOOD BLVD. MECHANICSVILLE VA 23116 1 0 0 0 Phantom Stock 2013-06-28 4 A 0 270 33.83 A Common Stock 270 38288 D The shares of phantom stock are convertible on a 1-for-1 basis and become payable, in cash or common stock, at the election of the reporting person, upon the occurrence of one of the following (as elected in advance by the reporting person): (a) death, (b) disability, (c) termination of service as director, (d) specified future delivery date, or (e) the earliest to occur of (a), (b), (c) or (d). Shares acquired through quarterly dividend reinvestment transaction. Richard E. Fogg by Rosemarie France POA 2013-07-01