-----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, L+W2laLpS3hpGl5wIbWyvZPOux2Rx3tTx4Ct3OYyDfW1cpu05DlFX4bBVzwdXICJ SIJC9EB0cEviqDHC/BoY7w== 0000914317-06-003249.txt : 20061212 0000914317-06-003249.hdr.sgml : 20061212 20061212193431 ACCESSION NUMBER: 0000914317-06-003249 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061208 FILED AS OF DATE: 20061212 DATE AS OF CHANGE: 20061212 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 600 CITY: NEW HAMPTON STATE: NY ZIP: 10958 BUSINESS PHONE: 8453265632 MAIL ADDRESS: STREET 1: P O BOX 600 CITY: NEW HAMPTON STATE: NY ZIP: 10958 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: AMMIDON HOYT JR CENTRAL INDEX KEY: 0001182274 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13648 FILM NUMBER: 061272724 BUSINESS ADDRESS: STREET 1: C/O TETRATEC STREET 2: 25025 I-495 NORTH CITY: THE WOODLANDS STATE: TX ZIP: 77380 BUSINESS PHONE: 2813642210 4 1 form4-80455_haex.xml X0202 4 2006-12-08 0 0000009326 BALCHEM CORP BCP 0001182274 AMMIDON HOYT JR BALCHEM CORPORATION PO BOX 600 NEW HAMPTON NY 10958 1 0 0 0 Common Stock 2006-12-08 4 A 0 4500 .0666 A 4500 D The purchased stock is subject to a repurchase option in favor of the Issuer and to restrictions on transfer until it vests in accordance with the provisions of the Restricted Stock Purchase Agreement dated December 08, 2006 between the Issuer and the Reporting Person. /s/ Hoyt Ammidon, Jr. 2006-12-12 -----END PRIVACY-ENHANCED MESSAGE-----