-----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, VaGXEuAyPvXfyTkZJgGyrxFHnqTM+5Br7emMZ5JmhPYiRpAooxetz9kbA6QSPxbz EVI+nIdSQhSbeoodjLLkfQ== 0000077360-04-000199.txt : 20041207 0000077360-04-000199.hdr.sgml : 20041207 20041207110559 ACCESSION NUMBER: 0000077360-04-000199 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041203 FILED AS OF DATE: 20041207 DATE AS OF CHANGE: 20041207 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PENTAIR INC CENTRAL INDEX KEY: 0000077360 STANDARD INDUSTRIAL CLASSIFICATION: SPECIAL INDUSTRY MACHINERY (NO METALWORKING MACHINERY) [3550] IRS NUMBER: 410907434 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5500 WAYZATA BLVD. STREET 2: SUITE 800 CITY: GOLDEN VALLEY STATE: MN ZIP: 55416 BUSINESS PHONE: 763-545-1730 FORMER COMPANY: FORMER CONFORMED NAME: PENTAIR INDUSTRIES INC DATE OF NAME CHANGE: 19790327 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HOGAN RANDALL J CENTRAL INDEX KEY: 0001189049 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11625 FILM NUMBER: 041187706 MAIL ADDRESS: STREET 1: 5500 WAYZATA BLVD. STREET 2: SUITE 800 CITY: GOLDEN VALLEY STATE: MN ZIP: 55416 4 1 c0001189049d20041207f4f.xml PRIMARY DOCUMENT X0202 4 2004-12-03 0 0000077360 PENTAIR INC PNR 0001189049 HOGAN RANDALL J 5500 WAYZATA BLVD. SUITE 800 GOLDEN VALLEY MN 55416-1259 1 1 0 0 Chairman, CEO Common Stock 2004-12-03 4 M 0 106000 18.0938 A 397616 D Common Stock 2004-12-03 4 F 0 65291 40.8 D 332325 D Common Stock 16000 I By Spouse Trust Common Stock 122072 I By Trust Employee Stock Option (right to buy) 18.0938 2004-12-03 4 M 0 106000 0 D 2001-01-03 2010-01-03 Common Stock 106000 0 D Employee Stock Option (right to buy) 40.8 2004-12-03 4 A 0 47007 0 A 2004-12-03 2010-01-03 Common Stock 47007 47007 D On May 17, 2004, Pentair declared a 2-for-1 stock split in the form of a 100 percent stock dividend payable on June 8, 2004, to shareholders of record as of June 1, 2004. This previously reported stock option and exercise price have been adjusted to reflect the stock split. Employee reload stock option granted pursuant to the Pentair, Inc. Omnibus Stock Incentive Plan. Reload stock option becomes exercisable upon grant and expires on the same date as the original option grant. Louis L. Ainsworth, Attorney-In-Fact 2004-12-07 -----END PRIVACY-ENHANCED MESSAGE-----