-----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, Ta9x/wjewzS5ka3Y9SnKElu2qMiCbgUNUU9R8lhph13RPLNEYNvnldHFt/KRJhfp c5rhmvzvxIZ6gdn12GpLNA== 0001179110-05-006239.txt : 20050321 0001179110-05-006239.hdr.sgml : 20050321 20050321162530 ACCESSION NUMBER: 0001179110-05-006239 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050317 FILED AS OF DATE: 20050321 DATE AS OF CHANGE: 20050321 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: Lebel Refael CENTRAL INDEX KEY: 0001321176 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19725 FILM NUMBER: 05694450 BUSINESS ADDRESS: BUSINESS PHONE: 269-673-7981 MAIL ADDRESS: STREET 1: C/O PERRIGO, 515 EASTERN AVENUE CITY: ALLEGAN STATE: MI ZIP: 49010 4 1 edgar.xml FORM 4 - X0202 4 2005-03-17 0 0000820096 PERRIGO CO PRGO 0001321176 Lebel Refael C/O PERRIGO COMPANY 515 EASTERN AVENUE ALLEGAN MI 49010 0 1 0 0 Exec VP & GM Common Stock 2005-03-17 4 A 0 15907 0 A 15907 D Common Stock 2005-03-17 4 A 0 8 0 A 15915 D Restricted shares issued pursuant to the Perrigo Company 2003 Long-Term Incentive Plan. Received in exchange for 5 shares of Agis Industries (1983) Ltd. (Agis) ordinary shares in connection with the merger of Agis into Perrigo (the Merger). On the effective date of the Merger, each holder of Agis ordinary shares received 0.8011 shares of Perrigo common stock and $14.93 in cash for each ordinary share of Agis they owned. Todd W. Kingma as Power of Attorney for Refael Lebel 2005-03-21 -----END PRIVACY-ENHANCED MESSAGE-----