-----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, BnnSLF1tJqVdnaBogvnH/RlAXlAdeNmBlslT1eV6bMqmhSemEUmjEBIVuyWNIb5e 2Z2h0xOnJ5wPX9YdH3Renw== 0000897101-03-001343.txt : 20031027 0000897101-03-001343.hdr.sgml : 20031027 20031027122227 ACCESSION NUMBER: 0000897101-03-001343 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20031023 FILED AS OF DATE: 20031027 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MEDAMICUS INC CENTRAL INDEX KEY: 0000833140 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 411533300 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 15301 HGHWY 55 W CITY: PLYMOUTH STATE: MN ZIP: 55447 BUSINESS PHONE: 7635592613 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JONES TREVOR O CENTRAL INDEX KEY: 0001026898 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19467 FILM NUMBER: 03957940 BUSINESS ADDRESS: STREET 1: TWO BRATENAHL PLACE CITY: BRATENAHL STATE: OH ZIP: 44108 BUSINESS PHONE: 2034815751 MAIL ADDRESS: STREET 1: TWO BRATENAHL PLACE CITY: BRATENAHL STATE: OH ZIP: 44108 3 1 medamicus034490jones_3ex.xml X0201 3 2003-10-23 0 0000833140 MEDAMICUS INC MEDM 0001026898 JONES TREVOR O TWO BRATENAHL PLACE BRATENAHL OH 44108 1 0 0 0 COMMON STOCK 0 D /s/ Kimberly Gessner by Power of Attorney 2003-10-24 EX-24 3 medamicus034490jones_ex24.txt EXHIBIT 24 POWER OF ATTORNEY Know all by these presents, that the undersigned hereby constitutes and appoints each of April Hamlin, Kim Gessner and Michael Erdmann, signing singly, the undersigned's true and lawful attorney-in-fact to: (1) execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of MedAmicus, Inc. (the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder; (2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5, complete and execute any amendment or amendments thereto, and timely file such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; and (3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion. The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 19th day of October 2003. /s/ Trevor O. Jones ----------------------------- Signature Trevor O. Jones ----------------------------- Print Name -----END PRIVACY-ENHANCED MESSAGE-----