-----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, EsY+AruD7pCSLJ+eefgkGcCSHtTdPaY6wAAx7/hefrJg51OkF0Wh/UnWO4jd5zsz PllMKPYmaRrBba4uV2/uMg== 0000914062-07-000506.txt : 20071113 0000914062-07-000506.hdr.sgml : 20071112 20071113102908 ACCESSION NUMBER: 0000914062-07-000506 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20071109 FILED AS OF DATE: 20071113 DATE AS OF CHANGE: 20071113 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MICROTEK MEDICAL HOLDINGS, INC CENTRAL INDEX KEY: 0000929299 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 581746149 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 13000 DEERFIELD PARKWAY STREET 2: SUITE 300 CITY: ALPHARETTA STATE: GA ZIP: 30004 BUSINESS PHONE: (678) 896-4400 MAIL ADDRESS: STREET 1: 13000 DEERFIELD PARKWAY STREET 2: SUITE 300 CITY: ALPHARETTA STATE: GA ZIP: 30004 FORMER COMPANY: FORMER CONFORMED NAME: MICROTEK MEDICAL HOLDINGS INC DATE OF NAME CHANGE: 20020813 FORMER COMPANY: FORMER CONFORMED NAME: ISOLYSER CO INC /GA/ DATE OF NAME CHANGE: 19940831 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HENDRIX ROSDON CENTRAL INDEX KEY: 0001105201 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24866 FILM NUMBER: 071235346 BUSINESS ADDRESS: STREET 1: C/O ISOLYSER COMPANY INC STREET 2: 4320 INTERNATIONAL BLVD. CITY: NORCROSS STATE: GA ZIP: 30093 BUSINESS PHONE: 7705826363 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2007-11-09 1 0000929299 MICROTEK MEDICAL HOLDINGS, INC MTMD 0001105201 HENDRIX ROSDON MICROTEK MEDICAL HOLDINGS, INC. 13000 DEERFIELD PKWY., STE. 300 ALPHARETTA GA 30004 1 0 0 0 Common Stock 2007-11-09 4 D 0 105000 6.30 D 0 D Stock Option 2.36 2007-11-09 4 D 0 25000 0 D 2008-05-22 Common Stock 25000 0 D Stock Option 4.37 2007-11-09 4 D 0 25000 0 D 2009-05-19 Common Stock 25000 0 D Stock Option 3.63 2007-11-09 4 D 0 25000 0 D 2010-05-18 Common Stock 25000 0 D Stock Option 3.60 2007-11-09 4 D 0 2000 0 D 2011-05-18 Common Stock 2000 0 D Disposed of pursuant to a merger agreement among Microtek Medical Holdings, Inc., Magic Acquisition Inc. and Ecolab Inc. in exchange for merger consideration of $6.30 per share in accordance with the terms of the merger agreement on the effective date of the merger. This option was canceled in the merger in exchange for a cash payment equal to the difference between the aggregate merger consideration for the shares subject to the option and the aggregate exercise price of the option. /s/ Rosdon Hendrix 2007-11-09 -----END PRIVACY-ENHANCED MESSAGE-----