0001209191-16-153886.txt : 20161207 0001209191-16-153886.hdr.sgml : 20161207 20161207161622 ACCESSION NUMBER: 0001209191-16-153886 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161205 FILED AS OF DATE: 20161207 DATE AS OF CHANGE: 20161207 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LEMAITRE VASCULAR INC CENTRAL INDEX KEY: 0001158895 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 63 SECOND AVENUE CITY: BURLINGTON STATE: MA ZIP: 01803 BUSINESS PHONE: 781-221-2266 MAIL ADDRESS: STREET 1: 63 SECOND AVENUE CITY: BURLINGTON STATE: MA ZIP: 01803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Roberts David B CENTRAL INDEX KEY: 0001365731 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33092 FILM NUMBER: 162039249 MAIL ADDRESS: STREET 1: 55 BRADFORD STREET CITY: NEEDHAM STATE: MA ZIP: 02492 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-12-05 0 0001158895 LEMAITRE VASCULAR INC LMAT 0001365731 Roberts David B C/O LEMAITRE VASCULAR, INC. 63 SECOND AVENUE BURLINGTON MA 01803 1 1 0 0 President and Director Dividend Equivalent Rights 2016-12-05 4 A 0 8 0.00 A Common Stock 8 17 D These dividend equivalent rights accrued on a restricted stock unit award granted on 7/25/2016 and vest proportionately with such award. Each dividend equivalent right is the economic equivalent of one share of the Issuer's common stock. /s/ Laurie A. Churchill, Attorney-in-fact 2016-12-07