0001209191-11-051519.txt : 20111012
0001209191-11-051519.hdr.sgml : 20111012
20111012134527
ACCESSION NUMBER: 0001209191-11-051519
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110930
FILED AS OF DATE: 20111012
DATE AS OF CHANGE: 20111012
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: JONAS DAVID A
CENTRAL INDEX KEY: 0001211654
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18933
FILM NUMBER: 111137226
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
5
1
doc5.xml
FORM 5 SUBMISSION
X0304
5
2011-09-30
0
0
0
0000868368
ROCHESTER MEDICAL CORPORATION
ROCM
0001211654
JONAS DAVID A
ONE ROCHESTER MEDICAL DRIVE
STEWARTVILLE
MN
55976
1
1
0
0
CFO and Treasurer
Common Stock
2011-09-15
5
W
0
1000
0.00
A
82500
D
Includes restricted stock award shares.
/s/ David A. Jonas
2011-10-12