-----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, P341btYYymvQAdLkBC7V30aUYZ8XmH2+gm3xL5TcCXdMzOICBW5B4rubpMc6dulX bF70Qc5LjaVohZauD4QdTQ== 0001014192-03-000001.txt : 20030311 0001014192-03-000001.hdr.sgml : 20030311 20030311141734 ACCESSION NUMBER: 0001014192-03-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020310 FILED AS OF DATE: 20030311 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: PURKAIT BOBBY CENTRAL INDEX KEY: 0001014192 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 201 MENTOR DRIVE CITY: SANTA BARBARA STATE: CA ZIP: 93111 BUSINESS PHONE: 8058796000 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MENTOR CORP /MN/ CENTRAL INDEX KEY: 0000064892 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 410950791 STATE OF INCORPORATION: MN FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-07955 FILM NUMBER: 03599219 BUSINESS ADDRESS: STREET 1: 201 MENTOR DR CITY: SANTA BARBARA STATE: CA ZIP: 93111 BUSINESS PHONE: 8058796000 MAIL ADDRESS: STREET 1: 201 MENTOR DR CITY: SANTA BARBARA STATE: CA ZIP: 93111 4 1 form4purkait0310031.htm FORM 4 FOR BOBBY PURKAIT Form 4 - Courtesy of e-Services, LLC - www.edgar2.net

FORM 4

 

__ Check this box if no longer 
     subject to Section 16. Form 4
     or Form 5 obligations may 
     continue. See Instruction 1(b).

     (Print or Type Responses)

 

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940

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1.  Name and Address of Reporting Person*
 

Purkait, Bobby
 

2.  Issuer Name and Tickler or Trading Symbol 
 

Mentor Corporation ("MNTR")

6.  Relationship of Reporting Person(s) to Issuer (Check all applicable)

___   Director                ___ 10% Owner

_X__  Officer (give title below)    

___  Other (specify below)

Senior Vice President, Science and Technology and New Business Development

(Last)     (First)     (Middle)
201 Mentor Drive
 

3. I.R.S. Identification Number of Reporting Person, if an entity   (voluntary)

4.  Statement for Month/Day/Year 
March 10, 2003

(Street)
Santa Barbara, CA 93111

5.  If Amendment, Date of Original (Month/Year)

7.  Individual or Joint/Group Filing (Check Applicable Line)
_X__ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

(City)     (State)     (Zip)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1.  Title of Security
   (Instr. 3)

2.  Transaction Date
(Month/Day/Year)

2A.  Deemed Execution Date, if any (Month/Day/Year)

3. Transaction Code
   (Instr. 8)

4. Securities  Acquired  (A) or Disposed of (D)
    (Instr. 3, 4 and 5)

5.  Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)

6.  Ownership Form: Direct (D) or Indirect (I) (Instr. 4)

7.  Nature of Indirect Beneficial   Ownership (Instr. 4)

Code

V

Amount

(A) or (D)

Price

Common Stock

 3/10/03 -------- M

  

 10,000 A 3.375

10,000  

   D

  

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

1.Title of
   Derivative
   Security
   (Instr.3)

2.Conversion or
 Exercise Price of
 Derivative Security

3.Transaction Date
(Month/Day/Year)

3A.  Deemed Execution Date, if any (Month/Day/Year)

4.Transaction Code
   (Instr. 8)

5.Number of Derivative
   Securities Acquired
   (A) or Disposed of (D)
   (Instr. 3, 4 and 5)

6.Date Exerciseable
   and Expiration  Date
  (Month/Day/Year)

7.Title and  Amount of
   Underlying Securities
   (Instr. 3 and 4)

8.Price of
   Derivative
   Security
   (Instr. 5)

9.Number  of    Derivative    Securities    Beneficially Owned Following Reported Transaction(s)   (Instr. 4)

10.Ownership
     Form of
     Derivative
     Securities
     Beneficially
     Owned at
     End of Month
     (Instr. 4)

11.Nature  of
     Indirect
     Beneficial
     Ownership
     (Instr. 4)

Code

V

(A)

(D)

Date Exercisable

Expiration Date

Title

Amount or Number of Shares

Option, Right to Buy

 $3.375 3/10/03 3/10/03

  M

  

  

  10,000

4/15/95

4/15/2004

Common Stock

10,000

 -------

399,000  

  D

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

Explanation of Responses:
 
 
 
 

              /s/ADEL MICHAEL               
**Signature of Reporting Person

               March 11, 2002              
Date

Reminder:

Report on a separate line for each class of securities beneficially owned directly or indirectly.

*

If the form is filed by more than one reporting person, see Instruction 4(b)(v).

**

Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note:

File three copies of this Form, on of which must be manually signed. If space is insufficient, see Instruction 6 for procedure

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