-----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, AqAfesPW5x1QCYC7eCqmwj9nJnqVeZJzmnF5AJD/jld+CFjh/DdJR2opQa/PsvI6 ZuvKApqKiB3Qr8SfnKyW4Q== 0001209191-03-022640.txt : 20030923 0001209191-03-022640.hdr.sgml : 20030923 20030923183433 ACCESSION NUMBER: 0001209191-03-022640 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030919 FILED AS OF DATE: 20030923 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: 03906791 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 42003-09-1900000944765MERGE TECHNOLOGIES INC MRGE0001229112BRET PATRICE MD1126 SOUTH 70TH STREETMILWAUKEEWI532141000Common Stock2003-09-194S01590018.5D1711DCommon Stock2003-09-19< /value>4S010418.5009D1607DCommon Stock2003-09-194S0122218.51D385DExchangeable Non-Voting02002-06-28200 7-06-28Common Stock109770109770DExchangeable Non-Voting02003-12-282007-06-28Common Stock4704547045IEscrowExchangeable 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.2003-09-23 -----END PRIVACY-ENHANCED MESSAGE-----