-----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, KZBR/A2hQCmV6WYcpncK8u4b4Wj5nqBMXjwvwi/yzOfdEDrVRb/S6u8AffEfkSoB vA7l2jhutIVFjeDAZ19qeg== 0000910680-04-000579.txt : 20040602 0000910680-04-000579.hdr.sgml : 20040602 20040602162900 ACCESSION NUMBER: 0000910680-04-000579 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040505 FILED AS OF DATE: 20040602 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MEDSOURCE TECHNOLOGIES INC CENTRAL INDEX KEY: 0001084726 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 522094496 BUSINESS ADDRESS: STREET 1: 110 CHESHIRE LANE CITY: MINNEAPOLIS STATE: MN ZIP: 55305 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SNIDER ROBERT R CENTRAL INDEX KEY: 0001195435 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-49702 FILM NUMBER: 04844796 BUSINESS ADDRESS: STREET 1: 1385 DIAMOND HEAD DR CITY: ENCININAS STATE: CA ZIP: 92024 BUSINESS PHONE: 6122206696 MAIL ADDRESS: STREET 1: 1385 DIAMOND HEAD DR CITY: ENCININAS STATE: CA ZIP: 92024 4 1 f4snider-05052004_ex.xml MAY 5, 2004 X0202 4 2004-05-05 0 0001084726 MEDSOURCE TECHNOLOGIES INC MEDT 0001195435 SNIDER ROBERT R C/O MEDSOURCE TECHNOLOGIES, INC. 110 CHESHIRE LANE, SUITE 100 MINNEAPOLIS MN 55305 0 1 0 0 Sr. VP-Oper. and Bus. Excel. Common Stock 2004-05-05 4 A 0 1383 4.335 A 116346 D Common Stock 30175 I By trust Common Stock 19970 I By trust Common Stock 9871 I By trust Common Stock 3183 I By trust Common Stock 3181 I By trust The shares were issued pursuant to an Employee Stock Purchase Plan. The reporting person disclaims beneficial ownership of such shares, and this report shall not be an admission that the reporting person is the beneficial owner of such shares for purposes of Section 16 or for any other purpose. The shares are beneficially owned by a trust established for the benefit of the reporting person's issue (the trusts listed in notes (3)-(7) are separate trusts). The shares are beneficially owned by a trust established for the benefit of the reporting person's issue (the trusts listed in notes (3)-(7) are separate trusts). The shares are beneficially owned by a trust established for the benefit of the reporting person's issue (the trusts listed in notes (3)-(7) are separate trusts). The shares are beneficially owned by a trust established for the benefit of the reporting person's issue (the trusts listed in notes (3)-(7) are separate trusts). The shares are beneficially owned by a trust established for the benefit of the reporting person's issue (the trusts listed in notes (3)-(7) are separate trusts). /s/ Robert R. Snider 2004-05-28 -----END PRIVACY-ENHANCED MESSAGE-----