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
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1. Name and Address of Reporting Person*
NELSON GLEN D

(Last) (First) (Middle)
651 CAMPUS DRIVE

(Street)
ST. PAUL MN 55112

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/25/2009
3. Issuer Name and Ticker or Trading Symbol
REPLIDYNE INC [ CSII ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
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 38,820 D
Common Stock 246,525 I Held by LLC(1)
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
Stock Option (right to buy) 12/01/2004 11/30/2009 Common Stock 6,470 $9.28 D
Stock Option (right to buy) 12/01/2005 11/30/2010 Common Stock 9,705 $12.37 D
Stock Option (right to buy) 12/19/2006 12/18/2016 Common Stock 12,940 $8.83 D
Stock Option (right to buy) 10/09/2007 10/08/2017 Common Stock 4,322 $7.9 D
Stock Option (right to buy) 11/13/2007 11/12/2017 Common Stock 15,087 $11.38 D
Warrant 07/19/2006 07/19/2011 Common Stock 12,131 $8.78 I Held by LLC(1)
Warrant 09/12/2008 09/12/2013 Common Stock 53,916 $9.28 I Held by LLC(1)
Warrant 02/25/2009 02/25/2014 Common Stock 56,558 $8.83 I Held by LLC(1)
Explanation of Responses:
1. Shares are held by GDN Holdings, LLC, of which Dr. Nelson is the sole owner.
Remarks:
/s/ John R. Remakel as Attorney-in-Fact for Glen D. Nelson pursuant to Power of Attorney filed herewith. 02/25/2009
** 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.