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