-----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, TWZvXH2np6/5tpxGxe+C5/JRscWkA8D+87WrOXKTEhD5x5tKmr5cAkftdIrOqhGr 73vNCRXdBG79UQl+3fq0Dw== 0001181431-06-059581.txt : 20061025 0001181431-06-059581.hdr.sgml : 20061025 20061025151910 ACCESSION NUMBER: 0001181431-06-059581 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061023 FILED AS OF DATE: 20061025 DATE AS OF CHANGE: 20061025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Merselis James D CENTRAL INDEX KEY: 0001324910 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32541 FILM NUMBER: 061162757 BUSINESS ADDRESS: BUSINESS PHONE: 408-719-1393 MAIL ADDRESS: STREET 1: C/O HEMOSENSE, INC. STREET 2: 651 RIVER OAKS PKWY CITY: SAN JOSE STATE: CA ZIP: 95134 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HEMOSENSE INC CENTRAL INDEX KEY: 0001127393 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 651 RIVER OAKS PARKWAY CITY: SAN JOSE STATE: CA ZIP: 95134 BUSINESS PHONE: 408-719-1393 MAIL ADDRESS: STREET 1: 651 RIVER OAKS PARKWAY CITY: SAN JOSE STATE: CA ZIP: 95134 4 1 rrd133958.xml FORM 4 RE RESTRICTED STOCK X0202 4 2006-10-23 0 0001127393 HEMOSENSE INC HEM 0001324910 Merselis James D C/O HEMOSENSE, INC. 651 RIVER OAKS PKWY SAN JOSE CA 95134 1 1 0 0 President, CEO Common Stock 2006-10-23 4 A 0 50000 0 A 50000 D 1/48th of the shares will vest monthly beginning on October 23, 2006. /s/ JAMES D. MERSELIS 2006-10-24 -----END PRIVACY-ENHANCED MESSAGE-----