-----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, HrbCV68WBlyi+0KBmKOwpDWjVn1BB8lQyzwBBwsda5A3SFhmJI+OP+Ev64HhCvq4 NNKOsTNExzWf9ofUbUmvWw== 0000914062-04-000501.txt : 20041104 0000914062-04-000501.hdr.sgml : 20041104 20041104165726 ACCESSION NUMBER: 0000914062-04-000501 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041102 FILED AS OF DATE: 20041104 DATE AS OF CHANGE: 20041104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HEACOX ALBERT E CENTRAL INDEX KEY: 0001013549 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13165 FILM NUMBER: 041120249 BUSINESS ADDRESS: STREET 1: 2211 NEW MARKET PKWY STREET 2: SUITE 142 CITY: MARIETTA STATE: GA ZIP: 30067 BUSINESS PHONE: 7709521660 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CRYOLIFE INC CENTRAL INDEX KEY: 0000784199 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 592417093 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1655 ROBERTS BOULEVARD N W STREET 2: STE 142 CITY: KENNESAW STATE: GA ZIP: 30144 BUSINESS PHONE: 7704193355 MAIL ADDRESS: STREET 1: 1655 ROBERTS BOULEVARD N W STREET 2: STE 142 CITY: KENNESAW STATE: GA ZIP: 30144 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2004-11-02 0000784199 CRYOLIFE INC CRY 0001013549 HEACOX ALBERT E CRYOLIFE, INC. 1655 ROBERTS BOULEVARD, N.W. KENNESAW GA 30144 0 1 0 0 Sr. VP-Laboratory Operations Common Stock 2004-11-02 4 A 0 5000 A 5000 D Common Stock 5346 I By Trust Common Stock 45000 I By Trust Common Stock 200 I By Trusts Not applicable. The 5,346 shares are owned by Albert E. Heacox, Trustee, Albert E. Heacox Living Trust under an agreement dated 10-29-99. The 45,000 shares are owned by Dr. Heacox's spouse as Virginia Heacox FBO Virginia Heacox, Trustee, or successor Trustees of the Virginia Heacox Living Trust under an agreement dated 10-29-99. Includes 100 shares owned by Albert E. Heacox C/F Rachel K. Heacox, UTMA/GA and 100 shares owned by Albert E. Heacox C/F Daniel A. Heacox UTMA/GA. The reporting person disclaims beneficial ownership of all securities held by his daughter and son, and this report should not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. Albert E. Heacox 2004-11-04 -----END PRIVACY-ENHANCED MESSAGE-----