-----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, KLaLdtyec72Tx3zFF5zPAF37TmMWes+piGNmyaTm4f+LtdJG6SlgCzBfhE9M2Lgq K1ba7KPKrzdUEpAnCt9XFg== 0000351721-05-000005.txt : 20050222 0000351721-05-000005.hdr.sgml : 20050221 20050222105509 ACCESSION NUMBER: 0000351721-05-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050218 FILED AS OF DATE: 20050222 DATE AS OF CHANGE: 20050222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ERICKSON JOHN H CENTRAL INDEX KEY: 0001192857 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10521 FILM NUMBER: 05629743 MAIL ADDRESS: STREET 1: 6501 WINDCREST DR STREET 2: SUITE 100 CITY: PLANO STATE: TX ZIP: 75024 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ADVANCED NEUROMODULATION SYSTEMS INC CENTRAL INDEX KEY: 0000351721 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 751646002 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6901 PRESTON RD. CITY: PLANO STATE: TX ZIP: 75024 BUSINESS PHONE: 9723098000 MAIL ADDRESS: STREET 1: 6901 PRESTON RD. CITY: PLANO STATE: TX ZIP: 75024 FORMER COMPANY: FORMER CONFORMED NAME: QUEST MEDICAL INC DATE OF NAME CHANGE: 19920703 4 1 ericksonexer21805_ex.xml X0202 4 2005-02-18 0 0000351721 ADVANCED NEUROMODULATION SYSTEMS INC ANSI 0001192857 ERICKSON JOHN H 6501 WINDCREST DR SUITE 100 PLANO TX 75024 0 1 0 0 VP of Research and Development Common Stock 2005-02-18 4 M 0 6250 3.3333 A 17250 D Common Stock 2005-02-18 4 M 0 3750 4.42 A 21000 D Stock Option 3.3333 2005-02-18 4 M 0 6250 D 2002-09-01 2008-09-01 Common Stock 6250 0 D Stock Option 4.42 2005-02-18 4 M 0 3750 D 2003-03-31 2009-03-31 Common Stock 3750 12250 D Granted pursuant to the 1998 Qualified Stock Option Plan John H. Erickson 2005-02-22 -----END PRIVACY-ENHANCED MESSAGE-----