0001140361-16-089861.txt : 20161215 0001140361-16-089861.hdr.sgml : 20161215 20161215163218 ACCESSION NUMBER: 0001140361-16-089861 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161213 FILED AS OF DATE: 20161215 DATE AS OF CHANGE: 20161215 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VASCULAR SOLUTIONS INC CENTRAL INDEX KEY: 0001030206 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 411859679 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6464 SYCAMORE COURT NORTH CITY: MINNEAPOLIS STATE: MN ZIP: 55369 BUSINESS PHONE: 7636564300 MAIL ADDRESS: STREET 1: 6464 SYCAMORE COURT NORTH CITY: MINNEAPOLIS STATE: MN ZIP: 55369 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NIGON RICHARD CENTRAL INDEX KEY: 0001213869 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27605 FILM NUMBER: 162054025 MAIL ADDRESS: STREET 1: CEDAR POINT CAPITAL STREET 2: 150 SOUTH 5TH STREET CITY: MINNEAPOLIS STATE: MN ZIP: 55402 4 1 doc1.xml FORM 4 X0306 4 2016-12-13 0 0001030206 VASCULAR SOLUTIONS INC VASC 0001213869 NIGON RICHARD C/O VASCULAR SOLUTIONS, INC. 6464 SYCAMORE COURT NORTH MINNEAPOLIS MN 55369 1 0 0 0 Common Stock 63735 D Common Stock 2016-12-13 4 G 0 2147 0 D 61588 D Stock Option (Right to Buy) 9.41 2017-04-24 Common Stock 10000 10000 D Stock Option (Right to Buy) 6.36 2018-04-22 Common Stock 10000 10000 D Stock Option (Right to Buy) 6.39 2019-04-21 Common Stock 10000 10000 D Stock Option (Right to Buy) 9.61 2020-04-22 Common Stock 10000 10000 D Stock Option (Right to Buy) 11.72 2021-04-22 Common Stock 10000 10000 D Stock Option (Right to Buy) 11.63 2022-05-04 Common Stock 10000 10000 D 100% fully vested. /s/ Richard Nigon 2016-12-15