-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, CiBp6qIqFVH2gDRmwFWXDaFCveuwn6CU/laIU0DuJaJDDAD/2rKl6neWYzBdztB1 X8Si8Nc7gn056Sd4964bsw== 0001459853-09-000004.txt : 20090824 0001459853-09-000004.hdr.sgml : 20090824 20090824184224 ACCESSION NUMBER: 0001459853-09-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090820 FILED AS OF DATE: 20090824 DATE AS OF CHANGE: 20090824 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: REFSLAND EARL R CENTRAL INDEX KEY: 0001160118 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19266 FILM NUMBER: 091032428 MAIL ADDRESS: STREET 1: 1720 SUBLETT AVENUE CITY: ST. LOUIS STATE: MO ZIP: 63110 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ALLIED HEALTHCARE PRODUCTS INC CENTRAL INDEX KEY: 0000874710 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 231370721 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 1720 SUBLETTE AVE CITY: ST LOUIS STATE: MO ZIP: 63110 BUSINESS PHONE: 3147712400 MAIL ADDRESS: STREET 1: 1720 SUBLETTE AVENUE CITY: ST LOUIS STATE: MO ZIP: 63110 4 1 primary_doc.xml PRIMARY DOCUMENT X0303 4 2009-08-20 0 0000874710 ALLIED HEALTHCARE PRODUCTS INC AHPI 0001160118 REFSLAND EARL R 1720 SUBLETT AVENUE ST. LOUIS MO 63110 1 1 0 0 President and CEO Common Stock 2009-08-20 4 M 0 542000 2 A 724300 D Common Stock 2009-08-20 4 F 0 351441 4.24 D 372859 D Employee Stock Option (right to buy) 2 2009-08-20 4 M 0 542000 0 A 2003-09-07 2009-08-23 Common Stock 542000 0 D Reflects 351,441 shares withheld by the Issuer at the market price of $4.24 per share less an exercise price of $2.00 per share to (i) fund the cashless exercise of 542,000 options and (ii) pay the amount of any federal, state and/or local income withholding tax arising from such exercise. Stock options under the Issuer's 1999 Incentive Stock Plan. The option shares are fully vested. The transactions reported in Table I above reflect the cashless exercise of stock options. The cashless exercise for the options is reported in two (2) lines. The first line of the cashless exercise transaction is coded M in column 3 of Table I above and reports in column 4 the number of shares issuable upon exercise of the options had cash been paid to exercise the options, together with the exercise price with Code A for acquired. The line coded F in column 3 of Table I above relates to the same cashless exercise on the preceding line and reports in Column 4 the number of shares deducted from the total number of shares issuable to pay for the cashless exercise of such options and tax withholdings associated therewith, such deduction reflected by Code D for disposed. The number of shares on a net basis actually owned by the Reporting Person after the cashless exercise of the options and the reduction for tax withholdings is the amount by which the first line for each cashless exercise exceed s the second line for the same cashless exercise. All transactions are exempt from Section 16(b) by reason of Rule 16b-3. The transaction reported in Table II above, reflects the disposition of the same stock options whose cashless exercise is disclosed in Table I above. /s/ Earl R. Refsland 2009-08-24 -----END PRIVACY-ENHANCED MESSAGE-----