SEC FORM 5 SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
Form 3 Holdings Reported.
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
Chapman Timothy L

(Last) (First) (Middle)
5960 HEISLEY ROAD

(Street)
MENTOR OH 44060

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
STERIS CORP [ STE ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SR VP & Grp. Pres., Healthcare
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
03/31/2012
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Shares, No Par Value 06/05/2008 G(1) 20,207 D $0 21,343 D
Common Shares, No Par Value 06/05/2008 G(1) 20,207 A $0 20,207 I By Spouse's Trust(2)
Common Shares, No Par Value 06/12/2008 G(1) 39 D $0 21,304 D
Common Shares, No Par Value 06/12/2008 G(1) 39 A $0 20,246 I By Spouse's Trust(2)
Common Shares, No Par Value 09/12/2008 G(1) 44 D $0 21,260 D
Common Shares, No Par Value 09/12/2008 G(1) 44 A $0 20,290 I By Spouse's Trust(2)
Common Shares, No Par Value 12/10/2008 G(1) 60 D $0 21,200 D
Common Shares, No Par Value 12/10/2008 G(1) 60 A $0 20,350 I By Spouse's Trust(2)
Common Shares, No Par Value 11/17/2009 G(1) 4,000 D $0 17,200 D
Common Shares, No Par Value 11/17/2009 G(1) 4,000 A $0 24,350 I By Spouse's Trust(2)
Common Shares, No Par Value 01/24/2011 G(1) 4,000 D $0 13,200 D
Common Shares, No Par Value 01/24/2011 G(1) 4,000 A $0 28,350 I By Spouse's Trust(2)
Common Shares, No Par Value 08/30/2011 G(1) 2,619 D $0 10,581(3) D
Common Shares, No Par Value 08/30/2011 G(1) 2,619 A $0 30,969 I By Spouse's Trust(2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. This transaction involved a transfer of shares by the Reporting Person to his Spouse's Trust, The Sharon A. Chapman 2007 Amended & Restated Revocable Trust UAD 7/20/2007.
2. These shares are held in The Sharon A. Chapman 2007 Amended & Restated Revocable Trust UAD 7/20/2007 for the benefit of the Reporting Person's spouse. The Reporting Person and the Reporting Person's spouse are co-trustees of the trust. The Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein.
3. 8,200 of these Common Shares are restricted. The restrictions on these Common Shares lapse as follows: 4,500 on May 20, 2014 and 3,700 on June 1, 2015.
/s/ Dennis P. Patton, Authorized Representative under Power of Attorney 05/29/2012
** 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 4 (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.

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