0001209191-12-006182.txt : 20120130
0001209191-12-006182.hdr.sgml : 20120130
20120130183556
ACCESSION NUMBER: 0001209191-12-006182
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20120126
FILED AS OF DATE: 20120130
DATE AS OF CHANGE: 20120130
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: SHEPARD PETER
CENTRAL INDEX KEY: 0001159937
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18933
FILM NUMBER: 12556944
MAIL ADDRESS:
STREET 1: ONE ROCHESTER MEDICAL DR
CITY: STEWARTVILLE
STATE: MN
ZIP: 55976
4
1
doc4.xml
FORM 4 SUBMISSION
X0304
4
2012-01-26
0
0000868368
ROCHESTER MEDICAL CORPORATION
ROCM
0001159937
SHEPARD PETER
ONE ROCHESTER MEDICAL DRIVE
STEWARTVILLE
MN
55976
1
0
0
0
Common Stock
2012-01-26
4
A
0
14361
0.00
A
14361
D
Common Stock
2012-01-27
4
P
0
2000
7.97
A
2000
I
Revocable Trust
Includes restricted stock awards.
EXHIBIT 24: Power of Attorney
/s/ David A. Jonas as power-of-attorney for Peter Shepard
2012-01-30
EX-24.4_406596
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
Know all by these presents, that I hereby constitute and appoint each of David
Jonas and Robert A. Kuhns my true and lawful attorney-in-fact and agent, each
acting alone, with full power of substitution for me and in my name, place and
stead, to:
1. execute for me and on my behalf, in my capacity as an officer and/or director
of Rochester Medical, Inc., Forms 3, 4 or 5 in accordance with Section 16(a) of
the Securities Exchange Act of 1934, as amended, and the rules promulgated
thereunder;
2. do and perform any and all acts for me and on my behalf which may be
necessary or desirable to complete and execute any such Form 3, 4 or 5, complete
and execute any amendment or amendments thereto and timely file such Form with
the United States Securities and Exchange Commission and any stock exchange or
similar authority; and
3. take any other action of any type whatsoever in connection with the foregoing
which, in the opinion of such attorney-in-fact, may be of benefit to me, in my
best interest or legally required by me, it being understood that the documents
executed by such attorney-in-fact on my behalf pursuant to this Power of
Attorney shall be in such form and shall contain such terms and conditions as
such attorney-in-fact may approve in such attorney-in-fact's discretion.
I hereby grant to each such attorney-in-fact full power and authority to do and
perform any and every act and thing whatsoever requisite, necessary or proper to
be done in the exercise of any of the rights and powers herein granted, as fully
to all intents and purposes as I might or could do if personally present, hereby
ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this Power of Attorney and the rights and powers herein
granted. I acknowledge that the attorneys-in-fact, in serving in such capacity
at my request, are not assuming, nor is Rochester Medical, Inc. assuming, any of
my responsibilities to comply with Section 16 of the Securities Exchange Act of
1934, as amended.
This Power of Attorney shall remain in full force and effect until I am no
longer required to file Forms 3, 4 and 5 with respect to my holdings of and
transactions in securities of Rochester Medical, Inc., unless earlier revoked by
me in a signed writing delivered to the attorneys-in-fact named above.
IN WITNESS WHEREOF, I have signed this Power of Attorney on January 27, 2012.
/s/ Peter Shepard
Peter Shepard