-----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, Kt4lS6XqVhlI25IHGbN5F7Nj8Cb6iHuPh1M3jT9OuDvw/B+GmbvNIi0anL3al38D Hv9krkGuThHzTxemXwdv0w== 0001209191-04-049368.txt : 20041025 0001209191-04-049368.hdr.sgml : 20041025 20041025155411 ACCESSION NUMBER: 0001209191-04-049368 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041025 FILED AS OF DATE: 20041025 DATE AS OF CHANGE: 20041025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DOUGLASS TERRY D CENTRAL INDEX KEY: 0001175883 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-49867 FILM NUMBER: 041094066 MAIL ADDRESS: STREET 1: 810 INNOVATION DRIVE CITY: KNOXVILLE STATE: TN ZIP: 37932 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CTI MOLECULAR IMAGING INC CENTRAL INDEX KEY: 0001129552 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 621377363 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 810 INNOVATION DRIVE CITY: KNOXVILLE STATE: TN ZIP: 37932 BUSINESS PHONE: 8652182000 FORMER COMPANY: FORMER CONFORMED NAME: CTI INC /TN DATE OF NAME CHANGE: 20001206 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-10-25 0 0001129552 CTI MOLECULAR IMAGING INC CTMI 0001175883 DOUGLASS TERRY D 810 INNOVATION DRIVE KNOXVILLE TN 37932 1 0 1 0 Common Stock 2004-10-25 4 M 0 6400 3.0938 A 895004 D Common Stock 932010 I See footnote. Common Stock 4950000 I See footnote. Stock Option (Right to Buy) 3.0938 2004-10-25 4 M 0 6400 0.00 D 1998-01-01 2005-01-01 Common Stock 6400 0 D By Douglass Revocable Charitable Trust. By Vision Investments LLC. Jack H. McCall, Jr., Attorney-in-Fact 2004-10-25 -----END PRIVACY-ENHANCED MESSAGE-----