-----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, F3L5FFF4VvWJEm4pfMZPc2wBaSdn1ulr7Ranzyyw6AisI/WahrXWIUuRjuS4/G8Z nW3WjjLcOlq+MZlQN9Qy2g== 0000077360-04-000223.txt : 20041220 0000077360-04-000223.hdr.sgml : 20041220 20041220115152 ACCESSION NUMBER: 0000077360-04-000223 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041217 FILED AS OF DATE: 20041220 DATE AS OF CHANGE: 20041220 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: Meyer Michael G CENTRAL INDEX KEY: 0001289605 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11625 FILM NUMBER: 041213191 BUSINESS ADDRESS: BUSINESS PHONE: 763-545-1730 MAIL ADDRESS: STREET 1: 5500 WAYZATA BOULEVARD, SUITE 800 CITY: GOLDEN VALLEY STATE: MN ZIP: 55416 4 1 c0001289605d20041220f4f.xml PRIMARY DOCUMENT X0202 4 2004-12-17 0 0000077360 PENTAIR INC PNR 0001289605 Meyer Michael G 5500 WAYZATA BLVD. SUITE 800 GOLDEN VALLEY MN 55416-1259 0 1 0 0 Vice President, Treasury/Tax Common Stock 2004-12-17 4 M 0 400 17.5 A 30176.91 D Common Stock 2004-12-17 4 M 0 500 19.8125 A 30676.91 D Common Stock 2004-12-17 4 M 0 600 18.0938 A 31276.91 D Common Stock 2004-12-17 4 M 0 600 11.375 A 31876.91 D Common Stock 2004-12-17 4 M 0 1276 18.1485 A 33152.91 D Common Stock 2004-12-17 4 M 0 3840 17.47 A 36992.91 D Common Stock 2004-12-17 4 F 0 2911 42.85 D 34081.91 D Common Stock 1800.387 I By Children Employee Stock Option (right to buy) 11.375 2004-12-17 4 M 0 600 0 D 2002-01-02 2011-01-02 Common Stock 600 0 D Employee Stock Option (right to buy) 17.47 2004-12-17 4 M 0 3840 0 D 2004-01-02 2013-01-02 Common Stock 3840 7680 D Employee Stock Option (right to buy) 17.5 2004-12-17 4 M 0 400 0 D 1999-01-22 2008-01-22 Common Stock 400 0 D Employee Stock Option (right to buy) 18.0938 2004-12-17 4 M 0 600 0 D 2001-01-03 2010-01-03 Common Stock 600 0 D Employee Stock Option (right to buy) 18.1485 2004-12-17 4 M 0 1276 0 D 2003-01-02 2012-01-02 Common Stock 1276 638 D Employee Stock Option (right to buy) 19.8125 2004-12-17 4 M 0 500 0 D 2000-01-14 2009-01-14 Common Stock 500 0 D Employee Stock Option (right to buy) 42.85 2004-12-17 4 A 0 253 0 A 2004-12-17 2010-01-03 Common Stock 253 253 D Employee Stock Option (right to buy) 42.85 2004-12-17 4 A 0 159 0 A 2004-12-17 2011-01-02 Common Stock 159 159 D Employee Stock Option (right to buy) 42.85 2004-12-17 4 A 0 540 0 A 2004-12-17 2012-01-02 Common Stock 540 540 D Employee Stock Option (right to buy) 42.85 2004-12-17 4 A 0 1565 0 A 2004-12-17 2013-01-02 Common Stock 1565 1565 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. In addition, end-of-period holdings include shares acquired under a dividend reinvestment plan in exempt transaction not required to be reported pursuant to Section 16(a). 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 2004-12-20 -----END PRIVACY-ENHANCED MESSAGE-----