-----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, U8kbZrK6UjpIS1EPeBw/F5YGnR66bUIZuCjL5K77bdT6lXH8aWOGZwwEbWqEabhC F+/rMVZTajhlB8spCBTsEQ== 0000914190-09-000738.txt : 20091119 0000914190-09-000738.hdr.sgml : 20091119 20091119125239 ACCESSION NUMBER: 0000914190-09-000738 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091116 FILED AS OF DATE: 20091119 DATE AS OF CHANGE: 20091119 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Petrucci Gary M CENTRAL INDEX KEY: 0001428155 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52082 FILM NUMBER: 091195238 MAIL ADDRESS: STREET 1: 2975 COUNTY ROAD 24 CITY: LONG LAKE STATE: MN ZIP: 55356 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Cardiovascular Systems Inc CENTRAL INDEX KEY: 0001180145 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 411698056 FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 651 CAMPUS DRIVE CITY: ST. PAUL STATE: MN ZIP: 55112 BUSINESS PHONE: 651-259-1600 MAIL ADDRESS: STREET 1: 651 CAMPUS DRIVE CITY: ST. PAUL STATE: MN ZIP: 55112 FORMER COMPANY: FORMER CONFORMED NAME: REPLIDYNE INC DATE OF NAME CHANGE: 20020813 4 1 edgar.xml PRIMARY DOCUMENT X0303 4 2009-11-16 0001180145 Cardiovascular Systems Inc CSII 0001428155 Petrucci Gary M 651 CAMPUS DRIVE ST. PAUL MN 55112 1 0 0 0 Common Stock 2009-11-16 5 G 0 10000 0 D 222686 D Common Stock 32350 I By Partnership Stock Option (right to buy) 9.28 2004-12-01 2009-11-30 Common Stock 12940 12940 D Stock Option (right to buy) 12.37 2005-12-01 2010-11-30 Common Stock 9705 9705 D Stock Option (right to buy) 8.83 2006-12-19 2016-12-18 Common Stock 19410 19410 D Stock Option (right to buy) 7.90 2007-10-09 2017-10-08 Common Stock 4321 4321 D Stock Option (right to buy) 11.38 2007-11-13 2017-11-12 Common Stock 24793 24793 D Stock Option (right to buy) 12.15 2007-12-31 2012-12-30 Common Stock 236906 236906 D Warrant 9.28 2004-11-16 2009-11-16 Common Stock 12940 12940 D Warrant 8.78 2006-07-19 2011-07-19 Common Stock 3336 3336 D Warrant 8.83 2009-02-25 2014-02-24 Common Stock 8935 8935 D Restricted Stock Units Common Stock 5714 5714 D Restricted Stock Units Common Stock 11628 11628 D Shares held by Applecrest Partners LTD Partnership, of which Mr. Petrucci is the General Partner. Previously incorrectly reported on a Form 4 filed on March 4, 2009, as Series A Conv Preferred Stock. Each restricted stock unit represents the right to receive a payment from CSI equal in value to the market price per share of CSI common stock on the date of payment and shall be payable in cash beginning six months following the termination of each director's board membership. Each restricted stock unit represents the right to receive a payment from CSI equal in value to the market price per share of CSI common stock on the date of payment, and shall be payable in cash beginning six months following the termination of each director's board membership; provided, however, that the restricted stock units vest in equal quarterly amounts of 2,907 on each of 9/30/2009, 12/31/2009, 3/31/2010 and 6/30/2010. /s/ John R. Remakel as Attorney-in-Fact for Gary M. Petrucci pursuant to Power of Attorney previously filed. 2009-11-19 -----END PRIVACY-ENHANCED MESSAGE-----