-----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, SLjH2VH5Uky+X4T+v3ta9014lB/0Om3T+DAyvLEIxRPm5C8HL78TPaPxnLjkIgPM ZzmZxiZr5N/EXwXJ2r6KtQ== 0001209191-04-000805.txt : 20040105 0001209191-04-000805.hdr.sgml : 20040105 20040105165427 ACCESSION NUMBER: 0001209191-04-000805 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040102 FILED AS OF DATE: 20040105 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ROCHESTER MEDICAL CORPORATION CENTRAL INDEX KEY: 0000868368 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 411613227 STATE OF INCORPORATION: MN FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: ONE ROCHESTER MEDICAL DR CITY: STEWARTVILLE STATE: MN ZIP: 55976 BUSINESS PHONE: 5075339600 MAIL ADDRESS: STREET 1: ONE ROCHESTER MEDICAL DR CITY: STEWARTVILLE STATE: MN ZIP: 55976 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BOEHM DARNELL L CENTRAL INDEX KEY: 0001033106 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18933 FILM NUMBER: 04505855 BUSINESS ADDRESS: STREET 1: ROCHESTER MEDICAL INC STREET 2: ONE ROCHESTER MEDICAL DR CITY: STEWARTVILLE STATE: MN ZIP: 55976 BUSINESS PHONE: 5075339600 MAIL ADDRESS: STREET 1: 1500 SECOND AVE NW CITY: STEWARTVILLE STATE: NC ZIP: 55976 4 1 doc4.xml FORM 4 SUBMISSION X0201 42004-01-0200000868368ROCHESTER MEDICAL CORPORATION ROCM0001033106BOEHM DARNELL L19330 BARDSLEY PLACEMONUMENTCO801321000Common Stock15000.0000DCommon Stock2350.0000IBy MinorStock Option (Right to Buy)9.25002004-01-024A05000.00000A2004-01-022014-01-02Common Stock5000.00005000.0000DGranted pursuant to the Company's Non-Qualified Stock Option PlanGranted on 01/02/2004; 100% vestedDavid A. Jonas as power-of-attorney for Darnell L. Boehm2004-01-05 -----END PRIVACY-ENHANCED MESSAGE-----