-----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, LsrrFa/NclMCPXb47H9+cKDJYSlYxzQw6C7Za+gRIFw95VD9yDPnHKD2s83h49Ir vKf/hl2J/L3iGGyhxb21sQ== 0001144204-04-020745.txt : 20041130 0001144204-04-020745.hdr.sgml : 20041130 20041130175304 ACCESSION NUMBER: 0001144204-04-020745 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041129 FILED AS OF DATE: 20041130 DATE AS OF CHANGE: 20041130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHANNON ROBERT R CENTRAL INDEX KEY: 0001059135 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10647 FILM NUMBER: 041175454 BUSINESS ADDRESS: STREET 1: 7040 E TAOS PLACE CITY: TUCSON STATE: AZ ZIP: 85715 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PRECISION OPTICS CORPORATION INC CENTRAL INDEX KEY: 0000867840 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 042795294 STATE OF INCORPORATION: MA FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 22 EAST BROADWAY CITY: GARDNER STATE: MA ZIP: 01440-3338 BUSINESS PHONE: 9786301800 FORMER COMPANY: FORMER CONFORMED NAME: PRECISION OPTICS CORP INC DATE OF NAME CHANGE: 19600201 4 1 v09458_shannon4ex.xml X0202 4 2004-11-29 0 0000867840 PRECISION OPTICS CORPORATION INC POCI 0001059135 SHANNON ROBERT R 7040 E TAOS PLACE TUCSON AZ 85715 1 0 0 0 Stock Option (to buy) 0.87 2004-11-29 4 A 0 5000 0 A 2004-11-29 2014-11-29 Common Stock 5000 16671 D /s/ Robert R. Shannon 2004-11-30 -----END PRIVACY-ENHANCED MESSAGE-----