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
 
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Uhler Paul R

(Last) (First) (Middle)
121 GAMMA DRIVE
RIDC INDUSTRIAL PARK

(Street)
PITTSBURGH PA 15238

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/10/2006
3. Issuer Name and Ticker or Trading Symbol
MINE SAFETY APPLIANCES CO [ MSA ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock, no par value 5,632 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Incentive Stock Option 02/27/2009 02/27/2016 Common Stock, no par value 2,495 40.08 D
Incentive Stock Option 03/09/2005 03/09/2014 Common Stock, no par value 3,989 25.065 D
Incentive Stock Option 12/14/2005 02/23/2015 Common Stock, no par value 2,189 45.68 D
Incentive Stock Option 09/11/2002 03/11/2012 Common Stock, no par value 7,728 12.1388 D
Non-statutory Stock Option 02/27/2009 02/27/2016 Common Stock, no par value 2,565 40.08 D
Non-statutory Stock Option 03/09/2005 03/09/2014 Common Stock, no par value 1,460 25.065 D
Non-statutory Stock Option 12/14/2005 02/23/2015 Common Stock, no par value 924 45.68 D
Explanation of Responses:
Remarks:
Douglas K. McClaine, Attorney in Fact 05/19/2006
** 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.