-----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, APNGxKtwqq3Gx+7rocapiRy7eD8nIOAu50HtUeWN5/518ZjD6JKDDsJIy8lgiTWx 4ppPFhQehqtAJAhNis6tlw== 0001181431-04-038962.txt : 20040805 0001181431-04-038962.hdr.sgml : 20040805 20040805172643 ACCESSION NUMBER: 0001181431-04-038962 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040803 FILED AS OF DATE: 20040805 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WENGROVER BERNARD CENTRAL INDEX KEY: 0001254246 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13251 FILM NUMBER: 04955622 BUSINESS ADDRESS: STREET 1: 100 JERICHO QUADRANGLE STREET 2: SUITE 236 CITY: JERICHO STATE: NY ZIP: 11753 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MEDICAL ACTION INDUSTRIES INC CENTRAL INDEX KEY: 0000748270 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 112421849 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 800 PRIME PL CITY: HAUPPAUGE STATE: NY ZIP: 11788 BUSINESS PHONE: 5162314600 MAIL ADDRESS: STREET 1: 150 MOTOR PKWY STREET 2: STE 205 CITY: HAUPPAUGE STATE: NY ZIP: 11788 4 1 rrd49645.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0202 4 2004-08-03 0 0000748270 MEDICAL ACTION INDUSTRIES INC MDCI 0001254246 WENGROVER BERNARD 100 JERICHO QUADRANGLE, SUITE 236 JERICHO NY 11753 1 0 0 0 Common Stock, $.001 Par Value 10000 D Non-Employee Director Stock Option Plan (Right to Buy) 16.33 2004-08-05 4 J 0 2500 16.33 A 2004-08-05 2014-08-05 Common Stock 2500 2500 D /s/ Bernard Wengrover 2004-08-05 -----END PRIVACY-ENHANCED MESSAGE-----