From Nitro PDF Software:
Nitro PDF Professional, the complete Adobe Acrobat alternative, enables you to do more with PDF through powerful tools to create, convert, edit, combine, secure, annotate, form-fill, and save industry-standard PDF files. Export text and images from PDF files for reuse in other applications, creating files that are highly editable and retain the look and feel of the original. Generate files with well-formatted, correctly-justified and easy-to-edit paragraphs.
Turn tabular content into editable tables, including complex and irregular tables that other converters can't. Convert vector-based images into scalable objects in Microsoft Word, wherever possible. Summarize all comments so you can view them alongside page content, either on screen or on paper. Use a customizable grid to layout objects, such as form fields and links, faster and more precisely.