-----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, DLpIGDBG9DPWovpHLBOOZShU4vt71KwEa4SLfhWFj6LaY/JpMLlEsVQHuVsDRw1Y e1IXm2j3nldUeltZEnQAfg== 0001187572-04-000001.txt : 20040105 0001187572-04-000001.hdr.sgml : 20040105 20040105175206 ACCESSION NUMBER: 0001187572-04-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HENNEMAN JOHN B III CENTRAL INDEX KEY: 0001187572 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26224 FILM NUMBER: 04506663 MAIL ADDRESS: STREET 1: 311 C ENTERPRISE DRIVE CITY: PLAINSBORO STATE: NJ ZIP: 08536 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INTEGRA LIFESCIENCES HOLDINGS CORP CENTRAL INDEX KEY: 0000917520 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 510317849 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 311 C ENTERPRISE DRIVE CITY: PLAINSBORO STATE: NJ ZIP: 08536 BUSINESS PHONE: 6092750500 MAIL ADDRESS: STREET 1: 311 C ENTERPRISE DRIVE CITY: PLAINSBORO STATE: NJ ZIP: 08536 FORMER COMPANY: FORMER CONFORMED NAME: INTEGRA LIFESCIENCES CORP DATE OF NAME CHANGE: 19950614 4 1 jhform4010504_ex.xml X0201 4 2003-12-31 0 0000917520 INTEGRA LIFESCIENCES HOLDINGS CORP IART 0001187572 HENNEMAN JOHN B III 311 C ENTERPRISE DRIVE PLAINSBORO NJ 08536 0 1 0 0 Exec VP, CAO & Secretary Common Stock 2003-12-31 2003-12-31 4 I 0 1416 15.0025 A 25104 D Incentive Stock Option (right to buy) 28.78 2004-01-02 2004-01-02 4 A 0 846 0.00 A 2005-01-02 2010-01-02 Common Stock 846 846 D Non-Qualified Stock Option (right to buy) 28.78 2004-01-02 2004-01-02 4 A 0 24154 0.00 A 2005-01-02 2010-01-02 Common Stock 24154 24154 D Shares acquired pursuant to Integra LifeSciences' 1998 Employee Stock Purchase Plan under Section 423 of the Internal Revenue Code of 1986, as amended, in a transaction exempt under Rule 16b-3. 25% of the options vest one year after the grant date, with the remaining 75% vesting monthly thereafter 36 months. /s/ John B. Henneman, III 2004-01-05 -----END PRIVACY-ENHANCED MESSAGE-----