0000914190-13-000340.txt : 20130522 0000914190-13-000340.hdr.sgml : 20130522 20130522161101 ACCESSION NUMBER: 0000914190-13-000340 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130520 FILED AS OF DATE: 20130522 DATE AS OF CHANGE: 20130522 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Cardiovascular Systems Inc CENTRAL INDEX KEY: 0001180145 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 411698056 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 651 CAMPUS DRIVE CITY: ST. PAUL STATE: MN ZIP: 55112 BUSINESS PHONE: 651-259-1600 MAIL ADDRESS: STREET 1: 651 CAMPUS DRIVE CITY: ST. PAUL STATE: MN ZIP: 55112 FORMER COMPANY: FORMER CONFORMED NAME: REPLIDYNE INC DATE OF NAME CHANGE: 20020813 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NELSON GLEN D CENTRAL INDEX KEY: 0001198920 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52082 FILM NUMBER: 13864911 BUSINESS ADDRESS: STREET 1: 385 WASHINGTON ST CITY: SAINT PAUL STATE: MN ZIP: 55102 BUSINESS PHONE: 651-310-6748 MAIL ADDRESS: STREET 1: THE TRAVELERS COMPANIES, INC. STREET 2: 385 WASHINGTON STREET CITY: ST. PAUL STATE: MN ZIP: 55102 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2013-05-20 0001180145 Cardiovascular Systems Inc CSII 0001198920 NELSON GLEN D 651 CAMPUS DRIVE ST. PAUL MN 55112 1 0 0 0 Common Stock 2013-05-20 4 P 0 10250 18.474 A 431588 D Common Stock 28500 I By Family Trust Common Stock 258655 I Held by LLC Stock Option (right to buy) 12.37 2015-11-30 Common Stock 9705 9705 D Stock Option (right to buy) 9.28 2014-11-30 Common Stock 6470 6470 D Stock Option (right to buy) 8.83 2016-12-18 Common Stock 12940 12940 D Stock Option (right to buy) 7.90 2017-10-08 Common Stock 4322 4322 D Stock Option (right to buy) 11.38 2017-11-12 Common Stock 15087 15087 D Warrant 9.28 2008-09-12 2013-09-12 Common Stock 53916 53916 I Held by LLC Warrant 8.83 2009-02-25 2014-02-24 Common Stock 56558 56558 I Held by LLC Warrant (right to buy) 9.28 2010-11-30 2013-09-12 Common Stock 117399 117399 I Held by LLC Warrant (right to buy) 8.83 2010-11-30 2014-02-24 Common Stock 452729 452729 I Held by LLC Restricted Stock Units Common Stock 5714 5714 D Restricted Stock Units Common Stock 11628 11628 D Restricted Stock Units Common Stock 21739 21739 D Restricted Stock Units Common Stock 7192 7192 D Restricted Stock Units Common Stock 10917 10917 D The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $18.405 to $18.56 inclusive. The reporting person undertakes to provide Cardiovascular Systems, Inc., any security holder of Cardiovascular Systems, Inc. or the staff of the Securities and Exchange Commission upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. Shares are held by the Glen D. Nelson 2012 Family Trust for the benefit of Dr. Nelson's wife and descendants. Shares are held by GDN Holdings, LLC, of which Dr. Nelson is the sole owner. Fully exercisable. Each restricted stock unit represents the right to receive a payment from CSI equal in value to the market price per share of CSI common stock on the date of payment, and will be payable in cash or shares of the Company's Common Stock beginning six months following the termination of the reporting person's board membership. Each restricted stock unit represents the right to receive a payment from CSI equal in value to the market price per share of CSI common stock on the date of payment, and will be payable in cash or shares of the Company's common stock beginning six months following the termination of the reporting person's board membership; provided, however, that the restricted stock units vest in quarterly amounts of 2,730 on each of 9/30/2012, and 2,729 on 12/31/2012, 3/31/2013, and 6/30/2013. /s/ Alexander Rosenstein as Attorney-in-Fact for Glen D. Nelson pursuant to Power of Attorney previously filed. 2013-05-22