0001235802-12-000123.txt : 20120814 0001235802-12-000123.hdr.sgml : 20120814 20120814171814 ACCESSION NUMBER: 0001235802-12-000123 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120810 FILED AS OF DATE: 20120814 DATE AS OF CHANGE: 20120814 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tornier Alain CENTRAL INDEX KEY: 0001507942 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35065 FILM NUMBER: 121034347 MAIL ADDRESS: STREET 1: VIA PETRARCA 4 CITY: MILAN STATE: L6 ZIP: 20123 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Tornier N.V. CENTRAL INDEX KEY: 0001492658 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 980509600 STATE OF INCORPORATION: P7 FISCAL YEAR END: 1227 BUSINESS ADDRESS: STREET 1: FRED ROESKESTRAAT 123 CITY: AMSTERDAM STATE: P7 ZIP: 1076EE BUSINESS PHONE: 952-426-7600 MAIL ADDRESS: STREET 1: 7701 FRANCE AVENUE SOUTH STREET 2: SUITE 600 CITY: EDINA STATE: MN ZIP: 55435 FORMER COMPANY: FORMER CONFORMED NAME: Tornier B.V. DATE OF NAME CHANGE: 20100524 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2012-08-10 0 0001492658 Tornier N.V. TRNX 0001507942 Tornier Alain 7701 FRANCE AVENUE S., SUITE 600 EDINA MN 55435 1 0 1 0 Ordinary Shares, par value EUR 0.03 per share 2012-08-10 4 A 0 2947 0 A 7057 D Ordinary Shares, par value EUR 0.03 per share 2012-08-10 4 A 0 1886 21.21 A 8943 D Ordinary Shares, par value EUR 0.03 per share 3485292 I See footnote Ordinary Shares, par value EUR 0.03 per share 467797 I See footnote Stock Option (right to buy) 18.04 2012-08-10 4 A 0 6448 0 A 2022-08-10 Ordinary Shares 6448 6448 D These ordinary shares will be issued over time upon vesting pursuant to a restricted stock unit granted under the Tornier N.V. 2010 Incentive Plan, as amended. These ordinary shares will be issued over time upon vesting pursuant to a restricted stock unit granted under the Tornier N.V. 2010 Incentive Plan, as amended, in lieu of retainer fees in the aggregate amount of $40,000. Includes 6,813 ordinary shares that will be issued over time upon vesting pursuant to restricted stock units granted under the Tornier N.V. 2010 Incentive Plan, as amended. These shares are held by KCH Oslo AS, formerly known as Karenslyst Argang 2011 XXXVII AS, ("KCH Oslo"). KCH Oslo is a wholly owned subsidiary of KCH Stockholm AB ("KCH Stockholm"). Mr. Tornier wholly owns KCH Stockholm. All ordinary shares indicated as indirectly owned by Mr. Tornier are included because of his affiliation with these entities. These shares were previously held by and subsequently transferred by KCH Stockholm to KCH Oslo. These shares are held by Phil Invest ApS ("Phil Invest"). Mr Tornier wholly owns Phil Invest. All ordinary shares indicated as owned by Mr. Tornier are included because of his affiliation with these entities. This option vests in three annual installments, on the one-year, two-year and three-year anniversaries of August 10, 2012. /s/ Kevin M. Klemz, attorney-in-fact 2012-08-14