SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
Form 3 Holdings Reported.
X
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
BARDIS JOHN A

(Last) (First) (Middle)
100 NORTH POINT CENTER EAST
SUITE 200

(Street)
ALPHARETTA GA 30022

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
MEDASSETS INC [ MDAS ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chairman, President and CEO
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2009
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Stock 10/15/2009 J 63,701(1) A $0.00 1,881,277 D
Common Stock 10/17/2009 J 63,921(1) A $0.00 71,921 I By Spouse
Common Stock 10/17/2009 J 63,921(1) D $0.00 56,079 I By 2007 Judith Bardis Annuity Trust
Common Stock 10/17/2009 J4 56,079(1) D $0.00 0 I By 2007 Judith Bardis Annuity Trust
Common Stock 10/15/2009 J 63,701(1) D $0.00 56,299 I By 2007 John Bardis Annuity Trust
Common Stock 10/15/2009 J4 56,299(1) D $0.00 0 I By 2007 John Bardis Annuity Trust
Common Stock 10/15/2009 J4 56,299(1) A $0.00 56,299 I By Bardis Children 2007 Trust
Common Stock 10/17/2009 J4 56,079(1) A $0.00 112,378 I By Bardis Children 2007 Trust
Common Stock 9,600 I By Son
Common Stock 9,600 I By Son
Common Stock 9,600 I By Daughter
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. The 2007 John Bardis Annuity Trust was terminated on 10/15/09 and 63,701 of the shares contained in this trust were transferred to John Bardis and the remaining 56,299 shares were transferred to the Bardis Children 2007 Trust. The 2007 Judith Bardis Annuity Trust was terminated on 10/17/09 and 63,921 of the shares contained in this trust were transferred to Judith Bardis and the remaining 56,079 shares were transferred to the Bardis Children 2007 Trust.
Remarks:
/s/ Christopher K. Logsdon, Attorney-In-Fact 02/16/2010
** 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 4 (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.