SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Meyer Michael G

(Last) (First) (Middle)
5500 WAYZATA BOULEVARD, SUITE 800

(Street)
GOLDEN VALLEY MN 55416

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/30/2004
3. Issuer Name and Ticker or Trading Symbol
PENTAIR INC [ PNR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President, Treasury/Tax
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 7,222 D
Common Stock 891.246 I By Children
Common Stock - ESPP 7,732.584 D
Common Stock - ESOP 4,283.3233 I By ESOP
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Incentive Bonus Award (cash-only right) 01/02/2005(1) 01/02/2005 Cash-only Right 16,500 $0 D
Employee Stock Option (right to buy) 01/02/2002(2) 01/02/2011 Common Stock 300 $22.75 D
Employee Stock Option (right to buy) 01/02/2004(2) 01/02/2013 Common Stock 5,760 $34.94 D
Employee Stock Option (right to buy) 01/22/1999(2) 01/22/2008 Common Stock 200 $35 D
Employee Stock Option (right to buy) 01/03/2001(2) 01/03/2010 Common Stock 300 $36.1875 D
Employee Stock Option (right to buy) 01/02/2003(2) 01/02/2012 Common Stock 957 $36.2969 D
Employee Stock Option (right to buy) 01/14/2000(2) 01/14/2009 Common Stock 250 $39.625 D
Employee Stock Option (right to buy) 01/02/2005(2) 01/02/2014 Common Stock 7,470 $45.76 D
Explanation of Responses:
1. Incentive Bonus Award vests three years from the date of grant. Payment upon vesting is based on a fixed value as determined by the Compensation Committee.
2. One-third of the stock options become exercisable on the first, second, and third anniversary of the grant.
Louis L. Ainsworth, Attorney-In-Fact 05/07/2004
** 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 5 (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.