-----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, QXv3vRcsg10m6SMOk8wDiQS4KjYSdXlSPmlhB1PXl3PLmciO91sQRL32WVx5C0r8 nfq5tr9qCK/MKBZsrD1ywg== 0000897101-03-001349.txt : 20031027 0000897101-03-001349.hdr.sgml : 20031027 20031027133135 ACCESSION NUMBER: 0000897101-03-001349 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19467 FILM NUMBER: 03958098 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 4 1 medamicus034496jones_4ex.xml X0201 4 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 Stock Option (right to buy) 10.93 2003-10-23 4 A 0 15000 10.93 A 2003-10-23 2009-10-23 Common Stock 15000 15000 D /s/ Kimberly Gessner by Power of Attorney 2003-10-24 -----END PRIVACY-ENHANCED MESSAGE-----