SEC FORM 3
SEC Form 3
FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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OMB APPROVAL |
OMB Number: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
C/O CONMED CORPORATION |
11311 CONCEPT BOULEVARD |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 11/04/2024
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3. Issuer Name and Ticker or Trading Symbol
CONMED Corp
[ CNMD ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
General Counsel & Corp Sec |
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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Common Stock |
0 |
D
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Explanation of Responses: |
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/s/ Thomas Fistek for Hollie K. Foust by Power of Attorney |
11/06/2024 |
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** Signature of Reporting Person |
Date |
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
5
(b)(v). |
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
CONMED CORPORATION
LIMITED POWER OF ATTORNEY FOR SECTION 16 AND RULE 144 FILINGS AND LOCK? UP
AGREEMENTS
Know all by these presents, that the undersigned hereby constitutes and
appoints each of the following attorneys of CONMED Corporation (the "Company"):
Thomas Fistek, Chief Counsel; Amber Straub, Counsel, Operations; Johonna
Pelletier, Treasurer and Vice President Tax; Kim Lockwood, Director Financial
Reporting; Julie Hall, Manager Legal Operations and ESG; Celeste Templeton,
Manager Compensation; and Michele Caiola, Paralegal, as the undersigned's true
and lawful attorney-in-fact to: 1. execute for and on behalf of the
undersigned, in the undersigned's capacity as an officer or director or both of
the Company, Forms 3, 4 and 5 (and any amendments thereto) in accordance with
Section 16(a) of the Securities Exchange Act of 1934, as amended and the rules
and regulations promulgated thereunder (the "Exchange Act"), and any Form 144
under the Securities Act of 1933, as amended, as well as any Lock-Up
Agreements; 2. do and perform any and all acts for and on behalf of the
undersigned which may be necessary or desirable to complete and execute any
such Form 3, 4, 5, Form 144 Notice or Lock-Up Agreements, complete and execute
any amendments thereto, and timely file such form, with all amendments,
supplements and exhibits thereto, with the Securities and Exchange Commission
and any securities exchange or similar authority; 3. seek or obtain, as the
undersigned's representative and on the undersigned's behalf, information on
transactions in the Company's securities from any third party, including but
not limited to brokers, employee benefit plan administrators and trustees, and
the undersigned hereby authorizes any s ch person to release any such
information to each of the undersigned's attorneys-in-fact appointed by this
Limited Power of Attorney and approves and ratifies any such release of
information; and 4. take any other action in connection with the foregoing
which, in the opinion of such attorney-in-fact, may be of benefit to, in the
best interest of, or legally required by or for, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of
the undersigned pursuant to this Limited Power of Attorney shall be in such
form and shall contain such information and disclosure as such attorney-in-fact
may approve in such attorney-in-fact's discretion. The undersigned hereby
grants to each such attorney-in-fact, acting individually, full power and
authority to do and perform any and every act and thing whatsoever required,
necessary or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might
or could do if personally present, with full power of substitution or
revocation, hereby ratifying and confirming all that such attorney-in-fact, or
such attorney-in-fact's substitute or substitutes, shall lawfully do or cause
to be done by virtue of this Limited Power of Attorney and the rights and
powers herein granted. The undersigned acknowledges that the foregoing
attorneys-in-fact, in serving in such capacity at the request and on the behalf
of the undersigned, are not assuming, nor is the Company assuming, any of the
undersigned's responsibilities to comply with, or any liability for the failure
to comply with, any provision of Section 16 of the Exchange Act. {HS232643.l}
This Limited Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, 5 and 144 and Lock-Up
Agreements with respect to the undersigned's holdings of and transactions in
securities issued by the Company, unless earlier revoked by the undersigned in
a signed writing delivered to each of the foregoing attorneys-in-fact. IN
WITNESS WHEREOF, the undersigned has executed this Limited Power of Attorney as
of this 26th day of October 2024. Signed and acknowledged: Hollie K. Foust
ACKNOWLEDGEMENT STATE OF OHIO COUNTY OF DELAWARE On October 20, 2024, before
me, the undersigned, personally appeared Hollie K Foust, personally known to me
or proved to me on the basis of satisfactory evidence to be the individual
whose name is subscribed to the within instrument and acknowledged to me that
he/she executed the same in his/her capacity, and that by his/her signature on
the instrument, the individual, or the person upon behalf the individual acted,
executed the instrument. instrument. Emily Bodoh Smith, Attorney at Law Notary
Public, State of Ohio