-----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, O/wc2wU3u9lZr2o+MbtNOV+Tnl1rCu/4L9KdIGPA9oVeGxquryCDtAIII8yICS7Q AVvHIxXDPl3tZdjdyOcitQ== 0001209191-05-011111.txt : 20050218 0001209191-05-011111.hdr.sgml : 20050218 20050218190841 ACCESSION NUMBER: 0001209191-05-011111 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050217 FILED AS OF DATE: 20050218 DATE AS OF CHANGE: 20050218 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DJ ORTHOPEDICS INC CENTRAL INDEX KEY: 0001157972 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 330978270 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2985 SCOTT STREET CITY: VISTA STATE: CA ZIP: 92083 BUSINESS PHONE: 7607271280 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FAULSTICK LUKE T CENTRAL INDEX KEY: 0001248184 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16757 FILM NUMBER: 05628954 MAIL ADDRESS: STREET 1: 2985 SCOTT STREET CITY: VISTA STATE: CA ZIP: 92083 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2005-02-17 0 0001157972 DJ ORTHOPEDICS INC DJO 0001248184 FAULSTICK LUKE T 2985 SCOTT STREET VISTA CA 92083 0 1 0 0 Sr. VP, Operations Common Stock 2005-02-17 2005-02-17 4 M 0 4514 13.56 A 0 D Common Stock 2005-02-17 2005-02-17 4 M 0 10000 4.05 A 30000 D Common Stock 2005-02-17 2005-02-17 4 M 0 3375 7.24 A 10125 D Common Stock 2005-02-17 2005-02-17 4 M 0 750 13.90 A 2250 D Common Stock 2005-02-17 2005-02-17 4 S 0 1200 24.01 D 62052 D Common Stock 2005-02-17 2005-02-17 4 S 0 1100 24.02 D 60952 D Common Stock 2005-02-17 2005-02-17 4 S 0 800 24.07 D 60152 D Common Stock 2005-02-17 2005-02-17 4 S 0 2800 24.00 D 57352 D Common Stock 2005-02-17 2005-02-17 4 S 0 400 24.10 D 56952 D Common Stock 2005-02-17 2005-02-17 4 S 0 239 24.20 D 56713 D Common Stock 2005-02-17 2005-02-17 4 S 0 400 24.13 D 56313 D Common Stock 2005-02-17 2005-02-17 4 S 0 3900 24.03 D 52413 D Common Stock 2005-02-17 2005-02-17 4 S 0 300 24.04 D 52113 D Common Stock 2005-02-17 2005-02-17 4 S 0 200 24.06 D 51913 D Common Stock 2005-02-17 2005-02-17 4 S 0 1200 24.08 D 50713 D Common Stock 2005-02-17 2005-02-17 4 S 0 100 24.09 D 50613 D Common Stock 2005-02-17 2005-02-17 4 S 0 200 24.14 D 50413 D Common Stock 2005-02-17 2005-02-17 4 S 0 200 24.15 D 50213 D Common Stock 2005-02-17 2005-02-17 4 S 0 600 24.16 D 49613 D Common Stock 2005-02-17 2005-02-17 4 S 0 600 24.17 D 49013 D Common Stock 2005-02-17 2005-02-17 4 S 0 200 24.18 D 48813 D Common Stock 2005-02-17 2005-02-17 4 S 0 400 24.19 D 48413 D Common Stock 2005-02-17 2005-02-17 4 S 0 3800 24.05 D 44613 D Employee Stock Option 13.596 2005-02-17 2005-02-17 4 M 0 4514 13.96 D 2011-06-04 Common stock 4514 0 D Employee Stock Option 4.05 2005-02-17 2005-02-17 4 M 0 10000 4.10 D 2012-12-19 Common stock 30000 20000 D Employee Stock Option 7.24 2005-02-17 2005-02-17 4 M 0 3375 7.24 D 2013-05-29 Common stock 13500 10125 D Employee Stock Option 13.90 2005-02-17 2005-02-17 4 M 0 750 13.90 D 2013-10-07 Common stock 3000 2250 D See Table II Exercisable on 6/04/2004 Exercisable on 12/19/2004 and of the remaining options, an additinal one-fourth is exercisable on 12/19/2005 and 12/19/2006. Exercisable on 5/29/2004 and of the remaining options, an additinal one-fourth is exercisable on 5/29/2005, 05/29/2006 and 05/29/2007. Exercisable on 10/07/2004 and of the remaining options, an additinal one-fourth on 10/07/2005 and 10/07/2006. /s/ Luke Titus Faulstick attorney at fact 2005-02-18 -----END PRIVACY-ENHANCED MESSAGE-----