FORM 4
__ Check this box if no
longer (Print or Type Responses)
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 |
OMB APPROVAL |
1. Name and Address of Reporting Person*
Purkait, Bobby |
2. Issuer Name and Tickler or Trading Symbol
Mentor Corporation ("MNTR") |
6. Relationship of Reporting Person(s) to Issuer (Check all applicable) ___ Director ___ 10% Owner _X__ Officer (give title below) ___ Other (specify below) Senior Vice President, Science and Technology and New Business Development | |||||||||
(Last) (First)
(Middle) |
3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary) |
4. Statement for
Month/Day/Year | |||||||||
(Street) |
5. If Amendment, Date of Original (Month/Year) |
7. Individual or Joint/Group
Filing (Check Applicable Line) | |||||||||
(City) (State) (Zip) |
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
1. Title of Security |
2. Transaction Date |
2A. Deemed Execution Date, if any (Month/Day/Year) |
3. Transaction Code |
4. Securities Acquired (A) or
Disposed of (D) |
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 |
3/10/03 | -------- | M |
|
10,000 | A | 3.375 |
10,000 |
D |
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Table II - Derivative Securities
Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
1.Title of |
2.Conversion or |
3.Transaction Date |
3A. Deemed Execution Date, if any (Month/Day/Year) |
4.Transaction Code |
5.Number of Derivative |
6.Date Exerciseable |
7.Title and Amount of |
8.Price of |
9.Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10.Ownership |
11.Nature of | ||||
Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares | ||||||||
Option, Right to Buy |
$3.375 | 3/10/03 | 3/10/03 |
M |
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10,000 |
4/15/95 |
4/15/2004 |
Common Stock |
10,000 |
------- |
399,000 |
D |
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Explanation of Responses: | |||
/s/ADEL MICHAEL
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March
11,
2002 | ||
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 | ||
Note: |
File three copies of this Form, on of which must be manually signed. If space is insufficient, see Instruction 6 for procedure |