-----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, R+6cta7fFg1KH3kCGjJmxlDd1t5G8kc3nHn1vmI9I7na+v7+izTCSfDQ2lZZTQty 5HH/mqkkHVfG53FbETWQKg== 0001209191-04-000862.txt : 20040105 0001209191-04-000862.hdr.sgml : 20040105 20040105171806 ACCESSION NUMBER: 0001209191-04-000862 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040102 FILED AS OF DATE: 20040105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHOLTIS MARTYN R CENTRAL INDEX KEY: 0001211656 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18933 FILM NUMBER: 04506251 MAIL ADDRESS: STREET 1: C/O ROCHESTER MEDICAL INC STREET 2: ONE RCHESTER MEDICAL DRIVE CITY: STEWARTVILLE STATE: MN ZIP: 55976 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 4 1 doc4.xml FORM 4 SUBMISSION X0201 42004-01-0200000868368ROCHESTER MEDICAL CORPORATION ROCM0001211656SHOLTIS MARTYN RONE ROCHESTER MEDICAL DRIVESTEWARTVILLEMN559760100Corporate Vice PresidentCommon Stock0DStock Option (Right to Buy)9.25002004-01-024A06000.0000< transactionPricePerShare>0A2014-01-02Common Stock6000.00006000.0000DGranted pursuant to the Company's Non-Qualified Stock Option Plan.Granted on 01/02/2004; 1,500 shares exercisable on each of 1/2/05, 1/2/06, 1/2/07 and 1/2/08.David A. Jonas as power-of-attorney for Martyn R. Sholtis2004-01-05 -----END PRIVACY-ENHANCED MESSAGE-----