0001181431-12-050995.txt : 20120918 0001181431-12-050995.hdr.sgml : 20120918 20120918143247 ACCESSION NUMBER: 0001181431-12-050995 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120914 FILED AS OF DATE: 20120918 DATE AS OF CHANGE: 20120918 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PATTERSON COMPANIES, INC. CENTRAL INDEX KEY: 0000891024 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 410886515 STATE OF INCORPORATION: MN FISCAL YEAR END: 0430 BUSINESS ADDRESS: STREET 1: 1031 MENDOTA HEIGHTS RD CITY: ST PAUL STATE: MN ZIP: 55120-1401 BUSINESS PHONE: 6516861600 MAIL ADDRESS: STREET 1: 1031 MENDOTA HEIGHTS RD CITY: ST PAUL STATE: MN ZIP: 55120-1401 FORMER COMPANY: FORMER CONFORMED NAME: PATTERSON DENTAL CO DATE OF NAME CHANGE: 19950111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SLAVKIN HAROLD C CENTRAL INDEX KEY: 0001243899 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20572 FILM NUMBER: 121096954 MAIL ADDRESS: STREET 1: USC STREET 2: 925 W 34TH ST CITY: LOS ANGELES STATE: CA ZIP: 90089-0641 4 1 rrd356447.xml FM4HCS_9.14.2012 X0306 4 2012-09-14 0 0000891024 PATTERSON COMPANIES, INC. PDCO 0001243899 SLAVKIN HAROLD C 13650 MARINA POINTE DRIVE #1102 MARINA DEL REY CA 90292-9291 1 0 0 0 Common Stock 2012-09-14 4 M 0 5000 32.41 A 16455 D Common Stock 2012-09-14 4 M 0 556 32.30 A 17011 D Common Stock 2012-09-14 4 S 0 5556 34.55 D 11455 D Common Stock 350 I Spouse's Account Director Stock Options 32.41 2012-09-14 4 M 0 5000 0.00 D Common Stock 5000 24940 D Director Stock Options 32.30 2012-09-14 4 M 0 556 0.00 D Common Stock 556 24384 D Options exercisable as follows: 12,000 on 9/13/05, 384 on 5/02/06, and 12,000 on 9/12/06. All grants expire 10 years after grant date. Options granted as follows: 12,000 on 9/13/04 at $37.18, 384 on 5/02/05 at $50.75, and 12,000 on 9/12/2005 at $40.935. Matthew L. Levitt, by Power of Attorney 2012-09-14