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