SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
BELL F FOLSOM

(Last) (First) (Middle)
PERRIGO COMPANY
515 EASTERN AVENUE

(Street)
ALLEGAN MI 49010

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
PERRIGO CO [ PRGO ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Executive VP Business Dev
3. Date of Earliest Transaction (Month/Day/Year)
08/20/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 08/08/1988 J 0 A $0 17,015 D
Common Stock 08/08/1988 J 0 A $0 4,056 I By 401(k)/Profit Sharing Plan(2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Director stock option right to buy $29.375 08/08/1988 J(1) 0 02/11/1996 02/11/2004 Common Stock 2,668 $0 2,668 D
Director stock option right to buy $29.375 08/08/1988 J(1) 0 02/11/1998 02/11/2004 Common Stock 2,666 $0 2,666 D
Director stock option right to buy $29.375 08/08/1988 J(1) 0 02/11/2000 02/11/2004 Common Stock 2,666 $0 2,666 D
Director stock option right to buy $14.6875 08/08/1988 J(1) 0 10/31/2000 11/06/2007 Common Stock 2,000 $0 2,000 D
Director stock option right to buy $8.375 08/08/1988 J(1) 0 10/31/2000 11/05/2008 Common Stock 2,000 $0 2,000 D
Director stock option right to buy $8.6563 08/08/1988 J(1) 0 10/31/2000 12/07/2009 Common Stock 2,000 $0 2,000 D
Employee stock option right to buy $7.4219 08/08/1988 J(1) 0 09/01/2003 09/01/2010 Common Stock 15,000 $0 15,000 D
Employee stock option right to buy $7.4219 08/08/1988 J(1) 0 09/01/2004 09/01/2010 Common Stock 15,000 $0 15,000 D
Employee stock option right to buy $7.4219 08/08/1988 J(1) 0 09/01/2005 09/01/2010 Common Stock 15,000 $0 15,000 D
Employee stock option right to buy $15.505 08/08/1988 J(1) 0 07/19/2002 07/19/2011 Common Stock 10,000 $0 10,000 D
Employee stock option right to buy $15.505 08/08/1988 J(1) 0 07/19/2003 07/19/2011 Common Stock 10,000 $0 10,000 D
Employee stock option right to buy $15.505 08/08/1988 J(1) 0 07/19/2004 07/19/2011 Common Stock 10,000 $0 10,000 D
Employee stock option right to buy $15.505 08/08/1988 J(1) 0 07/19/2005 07/19/2011 Common stock 10,000 $0 10,000 D
Employee stock option right to buy $15.505 08/08/1988 J(1) 0 07/19/2006 07/19/2011 Common Stock 10,000 $0 10,000 D
Employee stock option right to buy $9.84 08/08/1988 J(1) 0 08/06/2003 08/06/2012 Common Stock 8,000 $0 8,000 D
Employee stock option right to buy $9.84 08/08/1988 J(1) 0 08/06/2004 08/06/2012 Common Stock 8,000 $0 8,000 D
Employee stock option right to buy $9.84 08/08/1988 J(1) 0 08/06/2005 08/06/2012 Common Stock 8,000 $0 8,000 D
Employee stock option right to buy $9.84 08/08/1988 J(1) 0 08/06/2006 08/06/2012 Common Stock 8,000 $0 8,000 D
Employee stock option right to buy $9.84 08/08/1988 J(1) 0 08/06/2007 08/06/2012 Common Stock 8,000 $0 8,000 D
Employee stock option right to buy $13.9 08/20/2003 A 5,504 08/20/2004 08/20/2013 Common Stock 5,504 $0 5,504 D
Employee stock option right to buy $13.9 08/20/2003 A 5,503 08/20/2005 08/20/2013 Common Stock 5,503 $0 5,503 D
Employee stock option right to buy $13.9 08/20/2003 A 5,503 08/20/2006 08/20/2013 Common Stock 5,503 $0 5,503 D
Employee stock option right to buy $13.9 08/20/2003 A 5,503 08/20/2007 08/20/2013 Common Stock 5,503 $0 5,503 D
Employee stock option right to buy $13.9 08/20/2003 A 5,503 08/20/2008 08/20/2013 Common Stock 5,503 $0 5,503 D
Explanation of Responses:
1. Acquisitions previously acquired.
2. Consists of shares purchased in the 401(k)/Profit Sharing Plan.
Douglas R. Schrank as Power of Attorney 08/22/2003
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.