-----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, Pmj6PApQatLisEN/qg+x+EOI+3FQFDEtOEoqEZwioDw4jUI8BydVggFJGzR2bo80 Qrqz9rxXL4tP7x7327VvTg== 0001144204-08-068808.txt : 20081211 0001144204-08-068808.hdr.sgml : 20081211 20081211144007 ACCESSION NUMBER: 0001144204-08-068808 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20081201 FILED AS OF DATE: 20081211 DATE AS OF CHANGE: 20081211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ACKLEY ROBERT E CENTRAL INDEX KEY: 0001255045 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11392 FILM NUMBER: 081243265 BUSINESS ADDRESS: STREET 1: WYCHE BURGESS FREEMAN & PARHAM STREET 2: 44 EAST CAMPERDOWN WAY CITY: GREENVILLE STATE: SC ZIP: 29602 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SPAN AMERICA MEDICAL SYSTEMS INC CENTRAL INDEX KEY: 0000718924 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 570525804 STATE OF INCORPORATION: SC FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 70 COMMERCE DR STREET 2: P O BOX 5231 CITY: GREENVILLE STATE: SC ZIP: 29615 BUSINESS PHONE: 8642888877 MAIL ADDRESS: STREET 1: 70 COMMERCE DR STREET 2: PO BOX 5231 CITY: GREENVILLE STATE: SC ZIP: 29606 4 1 form418917_121108143950-.xml X0303 4 2008-12-01 0 0000718924 SPAN AMERICA MEDICAL SYSTEMS INC SPAN 0001255045 ACKLEY ROBERT E 70 COMMERCE CENTER GREENVILLE SC US 29615 0 1 0 0 VP - Custom Products Common Stock 2008-12-01 4 G 0 300 0 D 12868 D Richard C. Coggins, POA 2008-12-11 -----END PRIVACY-ENHANCED MESSAGE-----