-----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, K6mhpb3GmShWpOP8biri6AQvz9r+OPI5UgK3Jz2rc0GagkOXkH/pCIMIAjAdAoRg NNMmkDuQ43kyEK4VRgf6wQ== 0000009326-03-000016.txt : 20031231 0000009326-03-000016.hdr.sgml : 20031231 20031231133700 ACCESSION NUMBER: 0000009326-03-000016 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031212 FILED AS OF DATE: 20031231 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROSSI DINO A CENTRAL INDEX KEY: 0001209059 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13648 FILM NUMBER: 031080034 BUSINESS ADDRESS: STREET 1: BALCHEM CORP STREET 2: P O BOX 600 CITY: NEW HAMPTON STATE: NY ZIP: 10958 BUSINESS PHONE: 8453555300 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BALCHEM CORP CENTRAL INDEX KEY: 0000009326 STANDARD INDUSTRIAL CLASSIFICATION: CHEMICALS & ALLIED PRODUCTS [2800] IRS NUMBER: 132578432 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: P O BOX 175 CITY: SLATE HILL STATE: NY ZIP: 10973 BUSINESS PHONE: 9143555345 MAIL ADDRESS: STREET 1: P O BOX 175 CITY: SLATE HILL STATE: NY ZIP: 10973 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-12-12 0 0000009326 BALCHEM CORP bcp 0001209059 ROSSI DINO A BALCHEM CORPORATION P.O. BOX 600 NEW HAMPTON NY 10958 0 1 0 0 President and CEO Common Stock 2003-12-31 4 A 0 2158 22.85 A 9258 D Incentive Stock Option (right to buy) 22.84 2003-12-12 4 A 0 20000 22.84 A 2013-12-12 Common Stock 20000 112400 D Common stock, par value $0.6 2/3 per share. This information is based on the individual's year-end 401(k) plan information using the formula year-end total dollar value divided by stock price on close of market on 12/30 equals number of shares held. Option vests 20% year 1; 40% year 2; 40% year 3. /s/Dino A. Rossi 2003-12-31 -----END PRIVACY-ENHANCED MESSAGE-----