0000075252-17-000094.txt : 20170609 0000075252-17-000094.hdr.sgml : 20170609 20170609091121 ACCESSION NUMBER: 0000075252-17-000094 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170607 FILED AS OF DATE: 20170609 DATE AS OF CHANGE: 20170609 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: Lewis Lemuel E CENTRAL INDEX KEY: 0001339077 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09810 FILM NUMBER: 17901602 MAIL ADDRESS: STREET 1: C/O MARKEL CORPORATION STREET 2: 4521 HIGHWOODS PARKWAY CITY: GLEN ALLEN STATE: VA ZIP: 23060 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2017-06-07 0000075252 OWENS & MINOR INC/VA/ OMI 0001339077 Lewis Lemuel E C/O OWENS & MINOR, INC. 9120 LOCKWOOD BOULEVARD MECHANICSVILLE VA 23116 1 0 0 0 Phantom Stock 2017-06-07 4 A 0 32 31.61 A Common Stock 32 37629 D Phantom Stock 2017-06-08 4 A 0 31 31.82 A Common Stock 31 37660 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). Lemuel E. Lewis by Rosemarie W. France, POA 2017-06-09