0001209191-12-053931.txt : 20121120
0001209191-12-053931.hdr.sgml : 20121120
20121120095150
ACCESSION NUMBER: 0001209191-12-053931
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121116
FILED AS OF DATE: 20121120
DATE AS OF CHANGE: 20121120
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: 121216670
MAIL ADDRESS:
STREET 1: ONE ROCHESTER MEDICAL DR
CITY: STEWARTVILLE
STATE: MN
ZIP: 55976
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2012-11-16
0
0000868368
ROCHESTER MEDICAL CORPORATION
ROCM
0001159937
SHEPARD PETER
ONE ROCHESTER MEDICAL DRIVE
STEWARTVILLE
MN
55976
1
0
0
0
Common Stock
2012-11-16
4
P
0
400
10.09
A
14761
D
Common Stock
2000
I
Revocable Trust
Includes restricted stock awards.
/s/ David A. Jonas as power-of-attorney for Peter Shepard
2012-11-20