X0201 4 2003-11-12 0 0000718924 SPAN AMERICA MEDICAL SYSTEMS INC SPAN 0001255043 SHEW CLYDE A 228 KEENELAND WAY GREER SC 29651 0 1 0 0 VP - Medical Sales & Marketing Common Stock 2003-11-12 4 A 0 300 0 A 2200.00 D Common Stock 2400.00 I By Custodian For Child Stock Option (Right to Buy) 4.44 1997-07-01 2006-10-25 Common Stock 5000.00 5000.00 D Stock Option (Right to Buy) 4.16 1997-07-01 2006-11-27 Common Stock 5000.00 5000.00 D Stock Option (Right to Buy) 4.00 2002-01-01 2007-03-26 Common Stock 9500.00 9500.00 D Stock Option (Right to Buy) 7.09 1998-07-01 2007-10-22 Common Stock 5000.00 5000.00 D Stock Option (Right to Buy) 3.55 2000-07-01 2010-02-03 Common Stock 3000.00 3000.00 D Stock Option (Right to Buy) 5.41 2001-07-01 2011-01-31 Common Stock 4000.00 4000.00 D Stock Option (Right to Buy) 5.55 2002-07-01 2012-02-01 Common Stock 3000.00 3000.00 D Stock Option (Right to Buy) 7.97 2003-07-01 2013-02-14 Common Stock 3000.00 3000.00 D Exercisable as to 20% of underlying shares on noted date and to an additional 20% of underlying shares on each anniversary of such date. Exercisable as to 1,000 shares on noted date and to an additional 1,000 shares on the next three anniversaries of such date. By: Richard C. Coggins, POA 2003-11-14