SEC Form 4
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
JONAS DAVID A

(Last) (First) (Middle)
ONE ROCHESTER MEDICAL DRIVE

(Street)
STEWARTVILLE MN 55976

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
ROCHESTER MEDICAL CORPORATION [ ROCM ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
CFO and Treasurer
3. Date of Earliest Transaction (Month/Day/Year)
11/08/2010
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
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 11/08/2010 M 20,000 A $2.5625 61,500(1) D
Common Stock 11/08/2010 S 20,000 D $11.2(2) 41,500(1) 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 Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) $2.5625 11/08/2010 M 9,028 (3) 11/21/2010 Common Stock 9,028 $0.00 0 D
Stock Option (Right to Buy) $2.5625 11/08/2010 M 10,972 (3) 11/21/2010 Common Stock 10,972 $0.00 0 D
Stock Option (Right to Buy) $2.344 (3) 04/06/2011 Common Stock 10,000 10,000 D
Stock Option (Right to Buy) $2.344 (3) 04/06/2011 Common Stock 30,000 30,000 D
Stock Option (Right to Buy) $2.165 (3) 10/16/2011 Common Stock 4,998 4,998 D
Stock Option (Right to Buy) $2.165 (3) 10/16/2011 Common Stock 15,002 15,002 D
Stock Option (Right to Buy) $4.125 01/02/2004(4) 01/02/2013 Common Stock 10,000 10,000 D
Stock Option (Right to Buy) $4.625 01/02/2005(4) 01/02/2014 Common Stock 14,000 14,000 D
Stock Option (Right to Buy) $4.7 01/01/2006(4) 01/01/2015 Common Stock 40,000 40,000 D
Stock Option (Right to Buy) $5.7 01/26/2007 01/26/2016 Common Stock 352 352 D
Stock Option (Right to Buy) $5.7 01/26/2007(5) 01/26/2016 Common Stock 19,648 19,648 D
Stock Option (Right to Buy) $12.3 11/21/2007(4) 11/21/2016 Common Stock 20,000 20,000 D
Stock Option (Right to Buy) $11.23 02/06/2009(4) 02/06/2018 Common Stock 20,000 20,000 D
Stock Option (Right to Buy) $11.27 02/03/2010(4) 02/03/2019 Common Stock 20,000 20,000 D
Stock Option (Right to Buy) $12.27 01/28/2011(4) 01/28/2020 Common Stock 20,000 20,000 D
Explanation of Responses:
1. Includes restricted stock award shares.
2. The price in Column 4 is a weighted average. The prices actually received ranged from $11.10 to $11.25. The reporting person will provide to the issuer, any security holder of the issuer, or the SEC staff, upon request, information regarding the number of shares sold at each price within the range.
3. Currently 100% vested.
4. Vest as to 25% annual cumulative installments beginning one year from date of grant, beginning the date shown.
5. Vest 4,648 shares on 1/26/2007 and annual cummulative installments of 5,000 beginning 1/26/2008.
Remarks:
/s/ David A. Jonas 11/10/2010
** Signature of Reporting Person 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, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.