-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, FeV8M134luUoMdZCKBQLPpnrwWDsRd4RQlqXZ8z2FAR0QUtQQm18Z/MyTrXBilx0 AlqE8ggskETwe2MiyrYTew== 0000914190-06-000195.txt : 20060501 0000914190-06-000195.hdr.sgml : 20060501 20060501115155 ACCESSION NUMBER: 0000914190-06-000195 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060427 FILED AS OF DATE: 20060501 DATE AS OF CHANGE: 20060501 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smith Arch C CENTRAL INDEX KEY: 0001310813 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51050 FILM NUMBER: 06793361 BUSINESS ADDRESS: BUSINESS PHONE: 612-251-0661 MAIL ADDRESS: STREET 1: 4720 WEST LAKE HARRIET PARKWAY CITY: MINNEAPOLIS STATE: MN ZIP: 55410 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CABG MEDICAL INC CENTRAL INDEX KEY: 0001122425 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 411958628 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 14505 21ST AVENUE NORTH STREET 2: SUITE 212 CITY: MINNEAPOLIS STATE: MN ZIP: 55447 BUSINESS PHONE: 763-258-8005 MAIL ADDRESS: STREET 1: 14505 21ST AVENUE NORTH STREET 2: SUITE 212 CITY: MINNEAPOLIS STATE: MN ZIP: 55447 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2006-04-27 1 0001122425 CABG MEDICAL INC CABG 0001310813 Smith Arch C 4720 W. LAKE HARRIET PKWY. MINNEAPOLIS MN 55410 1 0 0 0 Common Stock 2006-04-27 4 D 0 37500 0 D 14000 D Common Stock 2006-04-27 4 J 0 14000 D 0 D Pursuant to shareholder approval of a plan of liquidation and dissolution and the filing of a notice of intent to dissolve with the Minnesota Secretary of State by the issuer, the reporting person is entitled to receive a distribution of $1.49 per share and may receive up to an additional $.04 per share in the future. /s/ Diane Heney as Attorney-in-Fact for Arch C. Smith pursuant to Power of Attorney previously filed 2006-05-01 -----END PRIVACY-ENHANCED MESSAGE-----