0001140361-11-055977.txt : 20111202 0001140361-11-055977.hdr.sgml : 20111202 20111202183751 ACCESSION NUMBER: 0001140361-11-055977 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111201 FILED AS OF DATE: 20111202 DATE AS OF CHANGE: 20111202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COOMBS PAUL D CENTRAL INDEX KEY: 0001182275 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13648 FILM NUMBER: 111241628 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BALCHEM CORP CENTRAL INDEX KEY: 0000009326 STANDARD INDUSTRIAL CLASSIFICATION: CHEMICALS & ALLIED PRODUCTS [2800] IRS NUMBER: 132578432 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: P O BOX 600 CITY: NEW HAMPTON STATE: NY ZIP: 10958 BUSINESS PHONE: 8453265632 MAIL ADDRESS: STREET 1: P O BOX 600 CITY: NEW HAMPTON STATE: NY ZIP: 10958 4 1 doc1.xml FORM 4 X0304 4 2011-12-01 0 0000009326 BALCHEM CORP BCPC 0001182275 COOMBS PAUL D C/OBALCHEM CORPORATION 52 SUNRISE PARK ROAD NEW HAMPTON, NY X1 10958 1 0 0 0 Common stock 2011-12-01 4 A 0 2418 0.0 A 5494 D Ownership of the restricted stock does not vest in Reporting person until four years from the grant date and is further subject to restrictions on transfer in accordance with the provisions of a Restricted Stock Grant Agreement between the Issuer and the Reporting Person. /s/ Paul D Coombs 2011-12-02