-----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, UCd4SI/W5KtAVd0kj23lNmlEQ5sRWJ+9P0B0g/T/DeUES/V5qDQF2mK8UhlQEUlK yKpznWcFRq88XJ6ZBxkFIQ== 0001209191-05-000889.txt : 20050104 0001209191-05-000889.hdr.sgml : 20050104 20050104160307 ACCESSION NUMBER: 0001209191-05-000889 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050104 DATE AS OF CHANGE: 20050104 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: 05507389 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 X0202 4 2004-12-31 0 0000868368 ROCHESTER MEDICAL CORPORATION ROCM 0001211656 SHOLTIS MARTYN R ONE ROCHESTER MEDICAL DRIVE STEWARTVILLE MN 55976 0 1 0 0 Corporate Vice President Common Stock 0 D Stock Option (Right to Buy) 9.25 2004-01-02 2014-01-02 Common Stock 6000 6000 D Stock Option (Right to Buy) 9.40 2004-12-31 4 A 0 15000 0.00 A 2005-12-31 2014-12-31 Common Stock 15000 15000 D Granted 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. Granted on 12/31/2004; 3,750 shares exercisable on each of 12/31/05, 12/31/06, 12/31/07 and 12/31/08. David A. Jonas as power-of-attorney for Martyn R. Sholtis 2005-01-03 -----END PRIVACY-ENHANCED MESSAGE-----