0001209191-12-059534.txt : 20121227 0001209191-12-059534.hdr.sgml : 20121227 20121227201700 ACCESSION NUMBER: 0001209191-12-059534 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121226 FILED AS OF DATE: 20121227 DATE AS OF CHANGE: 20121227 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: SMITH BENSON CENTRAL INDEX KEY: 0001211667 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18933 FILM NUMBER: 121288396 MAIL ADDRESS: STREET 1: C/O ROCHESTER MEDICAL INC STREET 2: ONE ROCHESTER MEDICAL DDRIVE CITY: STEWARTVILLE STATE: MN ZIP: 55976 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2012-12-26 0 0000868368 ROCHESTER MEDICAL CORPORATION ROCM 0001211667 SMITH BENSON 228 SOUTHERN HILL DRIVE DULUTH GA 30097 1 0 0 0 Common Stock 2012-12-26 4 M 0 4000 4.125 A 22361 D Common Stock 2012-12-26 4 M 0 10000 4.625 A 32361 D Common Stock 2012-12-26 4 M 0 10000 4.70 A 42361 D Common Stock 2012-12-26 4 M 0 20000 5.70 A 62361 D Stock Option (Right to Buy) 4.125 2012-12-26 4 M 0 4000 0.00 D 2003-01-02 2013-01-02 Common Stock 4000 0 D Stock Option (Right to Buy) 4.625 2012-12-26 4 M 0 10000 0.00 D 2004-01-02 2014-01-02 Common Stock 10000 0 D Stock Option (Right to Buy) 4.70 2012-12-26 4 M 0 10000 0.00 D 2005-01-01 2015-01-01 Common Stock 10000 0 D Stock Option (Right to Buy) 5.70 2012-12-26 4 M 0 20000 0.00 D 2006-01-26 2016-01-26 Common Stock 20000 0 D Stock Option (Right to Buy) 12.30 2006-11-21 2016-11-21 Common Stock 40000 40000 D Stock Option (Right to Buy) 11.23 2008-02-06 2018-02-06 Common Stock 10000 10000 D Stock Option (Right to Buy) 11.27 2009-02-03 2019-02-03 Common Stock 10000 10000 D Stock Option (Right to Buy) 12.27 2010-01-28 2020-01-28 Common Stock 12000 12000 D Stock Option (Right to Buy) 10.72 2011-01-27 2021-01-27 Common Stock 16000 16000 D Includes restricted stock awards. 100% vested on date of grant. /s/ David A. Jonas as attorney-in-fact for Benson Smith 2012-12-27