-----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, CLcqIw8gaSvhVCkGdeUCXXHecvxEUQ/qBqzLhb4MZmVP7LSIiVHdsETbXuwzIZEY t45FLctuwyp1IREvZMtzvA== 0001262014-04-000042.txt : 20040524 0001262014-04-000042.hdr.sgml : 20040524 20040524134251 ACCESSION NUMBER: 0001262014-04-000042 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040521 FILED AS OF DATE: 20040524 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UROLOGIX INC CENTRAL INDEX KEY: 0000882873 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 411697237 STATE OF INCORPORATION: MN FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 14405 21ST AVE N CITY: MINNEAPOLIS STATE: MN ZIP: 55447 BUSINESS PHONE: 6124751400 MAIL ADDRESS: STREET 1: 14405 21ST AVENUE NORTH CITY: MINNEAPOLIS STATE: MN ZIP: 55447 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DOERFERT KIRSTEN CENTRAL INDEX KEY: 0001241966 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28414 FILM NUMBER: 04826364 BUSINESS ADDRESS: STREET 1: 2500 PRINCETON COURT CITY: MINNEAPOLIS STATE: MN ZIP: 55416 BUSINESS PHONE: 7634757645 MAIL ADDRESS: STREET 1: 2500 PRINCETON COURT CITY: MINNEAPOLIS STATE: MN ZIP: 55416 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-05-21 0 0000882873 UROLOGIX INC ULGX 0001241966 DOERFERT KIRSTEN 2500 PRINCETON COURT MINNEAPOLIS MN 55416 0 1 0 0 VP, Bus Devel & Strategic Plan Common Stock 2004-05-21 4 M 0 20000 3.25 A 22647 D Common Stock 2004-05-21 4 S 0 12000 12 D 10647 D Common Stock 2004-05-21 4 S 0 8000 12.02 D 2647 D Stock Option (Right to Buy) 3.25 2004-05-21 4 M 0 20000 0 D 2000-10-26 2009-10-26 Common Stock 20000 7500 D Option vests as to 25% of shares on the anniversary of date of grant with 1/36 of the remaining shares vesting thereafter on each of the next 36 monthly anniversaries of the date of grant. By April Hamlin, Attorney-In-Fact for Kirsten Doerfert 2004-05-24 -----END PRIVACY-ENHANCED MESSAGE-----