0001209191-12-055998.txt : 20121205 0001209191-12-055998.hdr.sgml : 20121205 20121205180702 ACCESSION NUMBER: 0001209191-12-055998 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121203 FILED AS OF DATE: 20121205 DATE AS OF CHANGE: 20121205 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: 121244712 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 X0306 4 2012-12-03 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 2012-12-03 4 M 0 300 4.125 A 40300 D Common Stock 2012-12-03 4 S 0 300 11.00 D 40000 D Common Stock 2012-12-04 4 M 0 9700 4.125 A 49700 D Common Stock 2012-12-04 4 S 0 9700 10.91 D 40000 D Stock Option (Right to Buy) 4.125 2012-12-03 4 M 0 300 0.00 D 2004-01-02 2013-01-02 Common Stock 10000 9700 D Stock Option (Right to Buy 4.125 2012-12-04 4 M 0 9700 0.00 D 2001-01-02 2013-01-02 Common Stock 9700 0 D Stock Option (Right to Buy) 4.625 2005-01-02 2014-01-02 Common Stock 12000 12000 D Stock Option (Right to Buy) 4.70 2006-01-01 2015-01-01 Common Stock 30000 30000 D Stock Option (Right to Buy) 5.70 2007-01-26 2016-01-26 Common Stock 20000 20000 D Stock Option (Right to Buy) 12.30 2007-11-21 2016-11-21 Common Stock 20000 20000 D Stock Option (Right to Buy) 11.23 2009-02-06 2018-02-06 Common Stock 20000 20000 D Stock Option (Right to Buy) 11.27 2010-02-03 2019-02-03 Common Stock 20000 20000 D Stock Option (Right to Buy) 12.27 2011-01-28 2020-01-28 Common Stock 20000 20000 D Stock Option (right to Buy) 10.72 2012-01-27 2021-01-27 Common Stock 20000 20000 D Includes restricted stock award shares. The price in Column 4 is a weighted average. The prices actually received ranged from $10.85 to $10.99. The reporting person will provide to the issuer, any security holder of the issuer, or the SEC staff, upon request, information regarding the number of shares sold at each price within the range. Vest as to 25% annual cumulative installments beginning one year from date of grant, beginning the date shown. David A. Jonas as power-of-attorney for Martyn R. Sholtis 2012-12-05