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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 		 
OMB APPROVAL
OMB Number: 3235-0362
Estimated average burden
hours per response: 1.0
X
 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*
MINE SAFETY APPLIANCE CO STOCK COMPENSATION TRUST
(Last) (First) (Middle)
PNC BANK, NA, TRUSTEE
C/O MSA - 121 GAMMA DRIVE
(Street)
PITTSBURGH PA 15238
(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
MINE SAFETY APPLIANCES CO [ MSA ] 		5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2003
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 Stock, no par value 03/12/2003 J(1) 26,150 D $0.00 1,358,479 D
Common Stock, no par value 04/02/2003 J(1) 13,704 D $0.00 1,344,775 D
Common Stock, no par value 05/13/2003 J(1) 1,085 D $0.00 1,343,690 D
Common Stock, no par value 05/16/2003 J(1) 400 D $0.00 1,343,290 D
Common Stock, no par value 06/06/2003 J(1) 2,285 D $0.00 1,341,005 D
Common Stock, no par value 06/19/2003 J(1) 2,500 D $0.00 1,338,505 D
Common Stock, no par value 06/27/2003 J(1) 1,785 D $0.00 1,336,720 D
Common Stock, no par value 07/09/2003 J(1) 2,975 D $0.00 1,333,745 D
Common Stock, no par value 07/10/2003 J(1) 500 D $0.00 1,333,245 D
Common Stock, no par value 08/13/2003 J(1) 8,805 D $0.00 1,324,440 D
Common Stock, no par value 08/25/2003 J(1) 3,788 D $0.00 1,320,652 D
Common Stock, no par value 09/04/2003 J(1) 6,120 D $0.00 1,314,532 D
Common Stock, no par value 09/10/2003 J(1) 15,918 D $0.00 1,298,614 D
Common Stock, no par value 09/15/2003 J(1) 4,320 D $0.00 1,294,294 D
Common Stock, no par value 09/23/2003 J(1) 500 D $0.00 1,293,794 D
Common Stock, no par value 10/03/2003 J(1) 1,050 D $0.00 1,292,744 D
Common Stock, no par value 10/10/2003 J(1) 630 D $0.00 1,292,114 D
Common Stock, no par value 11/06/2003 J(1) 3,000 D $0.00 1,289,114 D
Common Stock, no par value 11/07/2003 J(1) 4,770 D $0.00 1,284,344 D
Common Stock, no par value 11/10/2003 J(1) 1,275 D $0.00 1,283,069 D
Common Stock, no par value 11/11/2003 J(1) 2,010 D $0.00 1,281,059 D
Common Stock, no par value 11/12/2003 J(1) 10,249 D $0.00 1,270,810 D
Common Stock, no par value 12/11/2003 J(1) 5,952 D $0.00 1,264,858 D
Common Stock, no par value 12/12/2003 J(1) 2,743 D $0.00 1,262,115 D
Common Stock, no par value 12/17/2003 J(1) 9,491 D $0.00 1,252,624 D
Common Stock, no par value 12/19/2003 J(1) 12,445 D $0.00 1,240,179 D
Common Stock, no par value 12/22/2003 J(1) 2,102 D $0.00 1,238,077 D
Common Stock, no par value 12/23/2003 J(1) 1,000 D $0.00 1,237,077 D
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. Distribution from Trust.
Remarks:
The filing of this Form 5 by the Trust does not constitute and should not be construed as an admission that either the Trust or PNC Bank, NA, as Trustee of the Trust, beneficially owns any securities covered by this Form 5. In this connection, the Trust and the Trustee disclaim beneficial ownership of the securities covered by this Form 5.
Douglas K. McClaine, Attorney-in-Fact MSA Stock Compensation Trust 01/20/2004
** 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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POWER OF ATTORNEY

To Sign and File Reports under Section 16(a)
of the Securities Exchange Act of 1934,
under Rule 144 or any other Filings Required
Under the Federal Securities Laws
With Respect to Securities of Mine Safety Appliances Company


               KNOW ALL MEN BY THESE PRESENTS, that the undersigned hereby constitutes and appoints Douglas K. McClaine or the General Counsel of Mine Safety Appliances Company ("MSA"), Dennis L. Zeitler or the Vice President-Finance of MSA and Nelson W. Winter, and each of them, his or her true and lawful attorneys-in-fact and agents, with full power of substitution, for the undersigned and in the undersigned's name, place and stead, to sign any and all reports of the undersigned under Section 16(a) of the Securities Exchange Act of 1934, under Rule 144 or any other filings required under the Federal Securities Laws with respect to securities of MSA, and to file the same with the Securities and Exchange Commission, granting unto said attorneys-in-fact and agents, and each of them, full power and authority to do and perform each and every act and thing requisite and necessary to be done as fully to all intents and purposes as the undersigned might or could do in person, hereby ratifying and confirming all th
at said attorneys-in-fact and agents or any of them, or his, her or their substitute or substitutes, may lawfully do or cause to be done by virtue hereof.  The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming any of the undersigned's responsibilities to comply with the Federal Securities Laws.

               This Power of Attorney shall remain in effect unless and until notice of its revocation shall have been filed by the undersigned with the Securities and Exchange Commission.

               IN WITNESS WHEREOF, the undersigned has executed and delivered this Power of Attorney the date set forth below.

Date:  January 13, 2004


							MINE SAFETY APPLIANCES COMPANY
							STOCK COMPENSATION TRUST COMMITTEE

							By:  /s/Dennis L. Zeitler
								Dennis L. Zeitler
								Member of the Committee