-----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, OBEMYsEbkKZG+zco5JQ5+9G/o42Y3DxKu62rm8IFbK8nrWMy8FuJmJ0XMKp9xmn/ adz0Ig3EFe/38h4KozdQ9w== 0001179110-04-009806.txt : 20040506 0001179110-04-009806.hdr.sgml : 20040506 20040506163900 ACCESSION NUMBER: 0001179110-04-009806 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031230 FILED AS OF DATE: 20040506 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PERRIGO CO CENTRAL INDEX KEY: 0000820096 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 382799573 STATE OF INCORPORATION: MI FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 515 EASTERN AVENUE CITY: ALLEGAN STATE: MI ZIP: 49010 BUSINESS PHONE: 6166738451 MAIL ADDRESS: STREET 1: 515 EASTERN AVENUE CITY: ALLEGAN STATE: MI ZIP: 49010 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JANDERNOA MICHAEL J CENTRAL INDEX KEY: 0001024511 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19725 FILM NUMBER: 04785614 BUSINESS ADDRESS: STREET 1: C/O PERRIGO CO STREET 2: 333 BRIDGE ST. N.W. #800 CITY: GRAND RAPIDS STATE: MI ZIP: 49504 BUSINESS PHONE: 6167321771 MAIL ADDRESS: STREET 1: C/O PERRIGO CO STREET 2: 333 BRIDGE STREET NW, SUITE 800 CITY: GRAND RAPIDS STATE: MI ZIP: 49504 4 1 edgar.xml FORM 4 - X0202 4 2003-12-30 0 0000820096 PERRIGO CO PRGO 0001024511 JANDERNOA MICHAEL J BRIDGEWATER PLACE 333 BRIDGE STREET NW SUITE 800 GRAND RAPIDS MI 49504 1 0 0 0 Common Stock 2004-04-16 4 G 0 2986 0 D 0 D Common Stock 2003-12-30 4 G 0 50792 0 D 5905513 I Jandernoa Trust Common Stock 2004-04-16 4 G 0 2986 0 A 5908499 I Jandernoa Trust Common Stock 2004-03-30 4 G 0 45848 0 A 5954347 I Jandernoa Trust Common Stock 2004-03-30 4 G 0 45848 0 D 136986 I M. Jandernoa Grantor Trust 2. Common Stock 2004-03-30 4 G 0 45848 0 A 339204 I Susan Jandernoa Trust Common Stock 2004-03-30 4 G 0 45848 0 D 136986 I Susan Jandernoa Grantor Trust 2 Restricted stock awarded Mr. Jandernoa transferred to the Michael J. Jandernoa Trust. Various charitable contributions from the Michael J. Jandernoa Trust. Michael J. Jandernoa Trust of which the reporting person is the Trustee. Transfer of shares from the Michael J. Jandernoa Grantor Trust 2 to the Michael J. Jandernoa Trust. Michael J. Jandernoa Grantor Trust 2 of which Mr. Jandernoa is trustee and has a reversionary interest. Transfer of shares from the Susan M. Jandernoa Grantor Trust 2 to the Susan M. Jandernoa Trust. Susan M. Jandernoa Trust of which Mrs. Jandernoa is the trustee. Susan M. Jandernoa Grantor Trust 2 of which Mrs. Jandernoa is trustee and has a reversionary interest. Michael J. Jandernoa 2004-05-06 -----END PRIVACY-ENHANCED MESSAGE-----