-----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, O4n3DAGdC9Ns5cTzPm/v9JgOMyhoCc7s8+t1W1lvW1KKuyTTPdq/cOYJr4PnwSaI SMd8+bK9nGEB/leeg/hwmw== 0001209191-05-000808.txt : 20050104 0001209191-05-000808.hdr.sgml : 20050104 20050104154042 ACCESSION NUMBER: 0001209191-05-000808 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050104 DATE AS OF CHANGE: 20050104 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: SMITH BENSON CENTRAL INDEX KEY: 0001211667 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18933 FILM NUMBER: 05507051 BUSINESS ADDRESS: STREET 1: C/O ROCHESTER MEDICAL INC STREET 2: ONE ROCHESTER MEDICAL DRIVE CITY: STEWARTVILLE STATE: MN ZIP: 55976 BUSINESS PHONE: 5075339600 MAIL ADDRESS: STREET 1: C/O ROCHESTER MEDICAL INC STREET 2: ONE ROCHESTER MEDICAL DDRIVE CITY: STEWARTVILLE STATE: MN ZIP: 55976 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-12-31 0 0000868368 ROCHESTER MEDICAL CORPORATION ROCM 0001211667 SMITH BENSON 3028 CASTLE PINES DRIVE DULUTH GA 30097 1 0 0 0 Common Stock 0 D Stock Option (Right to Buy) 9.25 2004-01-02 2014-01-02 Common Stock 5000 5000 D Stock Option (Right to Buy) 9.40 2004-12-31 4 A 0 5000 0.00 A 2004-12-31 2014-12-31 Common Stock 5000 5000 D Granted pursuant to the Company's Non-Qualified Stock Option Plan 100% vested. David A. Jonas as power-of-attorney for Benson Smith 2005-01-03 -----END PRIVACY-ENHANCED MESSAGE-----