0000075252-12-000094.txt : 20121121 0000075252-12-000094.hdr.sgml : 20121121 20121121125850 ACCESSION NUMBER: 0000075252-12-000094 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121120 FILED AS OF DATE: 20121121 DATE AS OF CHANGE: 20121121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DENTTARTOG GRACE R CENTRAL INDEX KEY: 0001219834 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09810 FILM NUMBER: 121220513 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: OWENS & MINOR INC/VA/ CENTRAL INDEX KEY: 0000075252 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 541701843 STATE OF INCORPORATION: VA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9120 LOCKWOOD BLVD CITY: MECHANICSVILLE STATE: VA ZIP: 23116 BUSINESS PHONE: 8047237000 MAIL ADDRESS: STREET 1: 9120 LOCKWOOD BLVD CITY: MECHANICSVILLE STATE: VA ZIP: 23116 FORMER COMPANY: FORMER CONFORMED NAME: O&M HOLDING INC DATE OF NAME CHANGE: 19940504 FORMER COMPANY: FORMER CONFORMED NAME: OWENS & MINOR INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: OWENS MINOR & BODEKER INC DATE OF NAME CHANGE: 19811124 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2012-11-20 0000075252 OWENS & MINOR INC/VA/ OMI 0001219834 DENTTARTOG GRACE R C/O OWENS & MINOR, INC. 9120 LOCKWOOD BLVD. MECHANICSVILLE VA 23116 0 1 0 0 SVP, General Counsel Common Stock 2012-11-20 4 M 0 15750 21.34 A 65514 D Common Stock 2012-11-20 4 S 0 15750 29.00 D 49764 D Stock Option 21.34 2012-11-20 4 M 0 15750 0 D 2007-04-27 2013-04-27 Common Stock 15750 0 D On 3/31/2010, the common stock of Owens & Minor, Inc. split 3-for-2, resulting in adjustments to the quantity and exercise price of reporting person's stock options. Grace R. den Hartog by Rosemarie W. France, POA 2012-11-21