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South
Carolina
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57-0525804
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(State
or other jurisdiction of incorporation or organization)
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(I.R.S.
Employer Identification No.)
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Title
of securities
of
to be registered
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Amount
to
be
registered
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Proposed
maximum
offering
price
per
share
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Proposed
maximum
aggregate
offering
price
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Amount
of
registration
fee
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Common
Stock
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52,052
shares(1)
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$10.52(2)
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$332,966.86(2)
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$10.22
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(1)
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In
connection with the special dividend of $5.00 per share paid to
shareholders on June 6, 2007, outstanding options were adjusted in
accordance with the terms of the 1997 and 1991 Stock Option Plans
to
increase the number of shares of common stock subject to each award
to
ensure that the aggregate value of each option award (calculated
as the
difference between the aggregate exercise price of the award and
the
aggregate fair market value of the underlying shares of common stock)
was
the same before and after the dividend. This registration statement
registers a total of 41,799 and 10,253 additional shares, respectively,
for issue pursuant to outstanding awards under the 1997 and 1991
Stock
Option Plans.
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(2)
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Pursuant
to Rule 457(h), the following exercise prices were used for the shares
indicated for the purpose of calculating the registration fee: $2.75
for
3,783 shares, $3.56 for 582 shares, $3.81 for 2,916 shares, $4.20
for
7,585 shares, $4.30 for 4,727 shares, $5.50 for 8,743 shares, $6.18
for
6,339 shares, $9.18 for 5,452 shares, $9.67 for 6,545 shares and
$10.52
for 5,380 shares.
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4.1
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Specimen
of Common Stock certificate: Incorporated by reference to Exhibit
1 to the
Form S-8 filed on January 8, 1990, Commission File No.
33-32896.
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| 4.2 | Restated Articles of Incorporation: Incorporated by reference to Exhibit 3(a) to the Company’s Registration Statement on Form S-18, Commission File No. 0-11392. |
| 4.2.1 | Articles of Amendment filed with the South Carolina Secretary of State on February 6, 1989: Incorporated by reference to Exhibit 3.1.1 to the Company’s Annual Report on Form 10-K for the fiscal year ended September 28, 1991. |
| 4.2.2 | Articles of Amendment filed with the South Carolina Secretary of State on March 5, 1992: Incorporated by reference to Exhibit 4.4 to the Company’s Registration Statement on Form S-2 dated May 11, 1992, Commission File No. 33-47670. |
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4.2.3
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Articles
of Amendment filed with the South Carolina Secretary of State on
April 22,
1993: Incorporated by reference to Exhibit 4.1 to the Company’s Quarterly
Report on Form 10-Q for the quarter ended April 3, 1993.
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4.3
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Amended
and Restated By-Laws dated February 4, 1997: Incorporated by reference
to
Exhibit 3.0 to the Company’s Quarterly Report on Form 10-Q for the quarter
ended March 29, 1997.
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4.3.1
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Amendment
to the Company's By-laws dated March 13, 2003: Incorporated by reference
to Exhibit 3.2 to the Company's report on Form 8-K dated March 13,
2003,
Commission File No. 00-11392.
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| 4.3.2 | Amendment to the Company's By-laws dated November 7, 2003: Incorporated by reference to Exhibit 3.2.2 to the Company’s Annual Report on Form 10-K for the fiscal year ended September 27, 2003, Commission File No. 0-11392. |
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4.4
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The
Registrant hereby agrees to furnish to the Securities and Exchange
Commission upon request a copy of any instrument with respect to
long-term
debt not being registered in a principal amount less than 10% of
the total
assets of the Registrant on a consolidated
basis.
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4.5
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Amended
and Restated Shareholder Rights Agreement dated March 24, 2003 between
the
Company and American Stock Transfer & Trust Company as Rights Agent.:
Incorporated by reference to Exhibit 4.1 to the Company’s report on Form
8-K dated March 24, 2003.
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4.5.1
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Amendment
No. 1 to the Amended and Restated Shareholder Rights Agreement dated
November 19, 2003: Incorporated by reference to Exhibit 4.1 to the
Company’s report on Form 8-K dated December 2,
2003
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4.6
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Agreement
among Span-America Medical Systems, Inc., Jerry Zucker, and Robert
B.
Johnston, dated December 17, 2003 regarding nomination of Mr. Johnston
to
the Span-America Board of Directors: Incorporated by reference to
Exhibit
4.4 to the 2003 10-K.
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5.1
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Opinion
of Wyche, Burgess, Freeman & Parham, P.A. regarding legality of shares
of Span-America Medical Systems, Inc.
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23.1
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Consent
of Independent Registered Public Accounting Firm (Elliott Davis,
LLC).
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23.2
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Consent
of Wyche, Burgess, Freeman & Parham, P.A.: contained in Exhibit
5.1.
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24.1
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Power
of Attorney: Contained on the signature page of this registration
statement.
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99.1
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1991
Stock Option Plan: Incorporated by reference to Exhibit 10.6 to the
Company’s Annual Report on Form 10-K for the fiscal year ended September
28, 1991, Commission File No.
0-11392.
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99.1.1
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Amendment
No. 1 to the 1991 Stock Option Plan: Incorporated by reference to
Exhibit
10.4.2 to the Company’s Annual Report on Form 10-K for the fiscal year
ended October 3, 1998 (the “1998 10-K”), Commission File No. 0-11392.
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99.2
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1997
Stock Option Plan: Incorporated by reference to Exhibit 10.14 to
the
Company’s Annual Report on Form 10-K for the fiscal year ended September
27, 1997, Commission File No. 0-11392.
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99.2.1
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Amendment
No. 1 to the 1997 Stock Option Plan: Incorporated by reference to
Exhibit
10.14.2 to the 1998 10-K.
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99.3
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Sections
33-8-500 through -580 of the 1976 Code of Laws of South Carolina,
as
amended.
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99.4
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Article
V of the Amended and Restated By-Laws of the Company dated February
4,
1997.
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Signature
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Title
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Date
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/s/
James D.
Ferguson
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President,
Chief Executive Officer
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October
9, 2007
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James
D. Ferguson
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&
Director (Principal Executive Officer)
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/s/
Richard C. Coggins
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Chief
Financial Officer, VP - Finance,
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October
9, 2007
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Richard
C. Coggins
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Secretary
& Director
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(Principal
Financial Officer)
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||
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/s/
Gwendolyn L. Randolph
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Controller
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October
9, 2007
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Gwendolyn
L. Randolph
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/s/
Thomas D. Henrion
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Chairman
of the Board of Directors
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October
10, 2007
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Thomas
D. Henrion
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| __________________ |
Director
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Robert
H. Dick
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/s/
Thomas F. Grady,
Jr.
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Director
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October
9, 2007
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Thomas
F. Grady, Jr.
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/s/
Guy R.
Guarch
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Director
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October
11, 2007
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Guy
R. Guarch
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/s/
Robert B. Johnston
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Director
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October
11, 2007
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Robert
B. Johnston
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/s/
Linda D.
Norman
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Director
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October
12, 2007
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Linda
D. Norman
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/s/
Peter S.
Nyberg
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Director
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October
9, 2007
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Peter
S. Nyberg
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5.1
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Opinion
of Wyche, Burgess, Freeman & Parham, P.A. regarding legality of shares
of Span-America Medical Systems,
Inc.
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23.1
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Consent
of Independent Registered Public Accounting Firm (Elliott Davis,
LLC).
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23.3
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Consent
of Wyche, Burgess, Freeman & Parham, P.A.: Contained in Exhibit
5.1.
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24.1
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Power
of Attorney: Contained on the signature page of this registration
statement.
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99.3
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Sections
33-8-500 through -580 of the 1976 Code of Laws of South Carolina,
as
amended.
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99.4
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Article
V of the Amended and Restated By-Laws of the Company dated February
4,
1997.
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