0000914190-13-000821.txt : 20131112 0000914190-13-000821.hdr.sgml : 20131111 20131112161228 ACCESSION NUMBER: 0000914190-13-000821 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131107 FILED AS OF DATE: 20131112 DATE AS OF CHANGE: 20131112 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Cardiovascular Systems Inc CENTRAL INDEX KEY: 0001180145 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 411698056 STATE OF INCORPORATION: DE 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Blackey Brent G CENTRAL INDEX KEY: 0001358186 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52082 FILM NUMBER: 131210298 MAIL ADDRESS: STREET 1: 8170 UPLAND CIRCLE CITY: CHANHASSEN STATE: MN ZIP: 55317 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2013-11-07 0001180145 Cardiovascular Systems Inc CSII 0001358186 Blackey Brent G 651 CAMPUS DRIVE ST. PAUL MN 55112 1 0 0 0 Common Stock 2013-11-07 4 X 0 22356 8.83 A 54645 D Stock Option (right to buy) 7.90 2017-10-08 Common Stock 38820 38820 D Stock Option (right to buy) 7.90 2017-10-08 Common Stock 6470 6470 D Warrant (right to buy) 8.83 2013-11-07 4 X 0 22356 0 D 2010-11-30 2014-02-24 Common Stock 22356 0 D Restricted Stock Units Common Stock 5714 5714 D Restricted Stock Units Common Stock 11628 11628 D Restricted Stock Units Common Stock 21739 21739 D Restricted Stock Units Common Stock 7192 7192 D Restricted Stock Units Common Stock 10917 10917 D Restricted Stock Units 2015-08-13 2015-08-13 Common Stock 2749 2749 D Restricted Stock Units Common Stock 4580 4580 D Fully exercisable. 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 or shares of Company common stock 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 or shares of Company common stock on the payment date. 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 or shares of Company common stock beginning six months following the termination of each director's board membership; provided, however, that the restricted stock units vest in quarterly amounts of 1,145 on each of September 30, 2013, December 31, 2013, March 31, 2014 and June 30, 2014. /s/ Alexander Rosenstein as Attorney-in-Fact for Brent G. Blackey pursuant to Power of Attorney previously filed. 2013-11-12