0001140361-17-008616.txt : 20170222
0001140361-17-008616.hdr.sgml : 20170222
20170222162848
ACCESSION NUMBER: 0001140361-17-008616
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170217
FILED AS OF DATE: 20170222
DATE AS OF CHANGE: 20170222
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: 17628818
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
2017-02-17
1
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
61228
D
Common Stock
2017-02-17
4
D
0
61228
D
0
D
Stock Option (Right to Buy)
9.41
2017-02-17
4
D
0
10000
46.59
D
2017-04-24
Common Stock
10000
0
D
Stock Option (Right to Buy)
6.36
2017-02-17
4
D
0
10000
49.64
D
2018-04-22
Common Stock
10000
0
D
Stock Option (Right to Buy)
6.39
2017-02-17
4
D
0
10000
49.61
D
2019-04-21
Common Stock
10000
0
D
Stock Option (Right to Buy)
9.61
2017-02-17
4
D
0
10000
46.39
D
2020-04-22
Common Stock
10000
0
D
Stock Option (Right to Buy)
11.72
2017-02-17
4
D
0
10000
44.28
D
2021-04-22
Common Stock
10000
0
D
Stock Option (Right to Buy)
11.63
2017-02-17
4
D
0
10000
44.37
D
2022-05-04
Common Stock
10000
0
D
In connection with the merger of Issuer and a subsidiary of Teleflex Incorporated (the "Merger") pursuant to an agreement and plan of merger dated December 1, 2016, all shares of Issuer common stock were canceled and automatically converted into the right to receive $56.00 per share in cash, without interest and less any applicable withholding taxes.
This option, which is fully vested, was canceled pursuant to the Merger in exchange for a cash payment of $465,900, representing the difference between the exercise price of the option and the merger consideration per share ($56.00) multiplied by the total number of shares underlying the option.
This option, which is fully vested, was canceled pursuant to the Merger in exchange for a cash payment of $496,400, representing the difference between the exercise price of the option and the merger consideration per share ($56.00) multiplied by the total number of shares underlying the option.
This option, which is fully vested, was canceled pursuant to the Merger in exchange for a cash payment of $496,100, representing the difference between the exercise price of the option and the merger consideration per share ($56.00) multiplied by the total number of shares underlying the option.
This option, which is fully vested, was canceled pursuant to the Merger in exchange for a cash payment of $463,900, representing the difference between the exercise price of the option and the merger consideration per share ($56.00) multiplied by the total number of shares underlying the option.
This option, which is fully vested, was canceled pursuant to the Merger in exchange for a cash payment of $442,800, representing the difference between the exercise price of the option and the merger consideration per share ($56.00) multiplied by the total number of shares underlying the option.
This option, which is fully vested, was canceled pursuant to the Merger in exchange for a cash payment of $443,700, representing the difference between the exercise price of the option and the merger consideration per share ($56.00) multiplied by the total number of shares underlying the option.
/s/ Richard Nigon
2017-02-22