-----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, S5U8LdfUcbz8gsYmE2vnXRe+MN4aAVYznpciX1NBENFovg2xS4drLJcqsfYNlm0+ 4XPl4JEdToEW/vJrbt9noA== 0001209191-03-016771.txt : 20030812 0001209191-03-016771.hdr.sgml : 20030812 20030812183241 ACCESSION NUMBER: 0001209191-03-016771 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030808 FILED AS OF DATE: 20030812 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRET PATRICE MD CENTRAL INDEX KEY: 0001229112 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29486 FILM NUMBER: 03838730 BUSINESS ADDRESS: STREET 1: 55 ELDERWOOD DRIVE CITY: TORONTO ONTARIO CANADA STATE: A6 ZIP: M5P 1X2 BUSINESS PHONE: 4164871792 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MERGE TECHNOLOGIES INC CENTRAL INDEX KEY: 0000944765 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] IRS NUMBER: 391600938 STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1126 S 70TH STREET STREET 2: SUITE S-107B CITY: MILWAUKEE STATE: WI ZIP: 53214 BUSINESS PHONE: 4149774000 MAIL ADDRESS: STREET 1: 1126 S 70TH ST STREET 2: SUITE S-107B CITY: MILWAUKEE STATE: WI ZIP: 53214-3151 4 1 doc4.xml FORM 4 SUBMISSION X0201 42003-08-0800000944765MERGE TECHNOLOGIES INC MRGE0001229112BRET PATRICE MD55 ELDERWOOD DRIVETORONTOM5P 1X21000Common Stock2003-08-084S0653013.05D100450DCommon Stock2003-08-084S0120013.07D99250DCommon Stock2003-08-084S0280013.08D96450DCommon Stock2003-08-084S0270013.15D93750DCommon Stock2003-08-084S060013.18D93150DCommon Stock2003-08-084S010013.181D93050DCommon Stock2003-08-084S0250013.2D90550DCommon Stock2003-08-084S01525013.02D34970ITrustCommon Stock2003-08-084S040013.03D34570ITrustCommon Stock2003-08-084S0780013.04D26770ITrustCommon Stock2003-08-084S02677013.05D0ITrustExchangeable Non-Voting02002-06-282007-06-28Common Stock109770109770DExchangeable Non-Voting02003-12-282007-06-28Common Stock4704547045IEscrowShares held in trust for which Patrice M. Bret, M. D. is Trustee, registered as follows: The Patrice Bret eFilm TrustExchangeable Non-Voting Share, no par value, of eFilm Medical Inc. exchangeable on a one-to-one basis for the Common Stock, par value of $0.01 per share, of Merge Technologies Incorporated Shares held in escrow for which U. S. Bank, N. A. is Trustee, registered as follows: U. S. Bank, N. A., in trust for Patrice M. Bret/s/ Julie Ann Schumitsch, by Power of Attorney for Patrice M. Bret, M. D.2003-08-12 -----END PRIVACY-ENHANCED MESSAGE-----