0000914190-16-000521.txt : 20160125 0000914190-16-000521.hdr.sgml : 20160125 20160125170349 ACCESSION NUMBER: 0000914190-16-000521 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160125 FILED AS OF DATE: 20160125 DATE AS OF CHANGE: 20160125 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: 1225 OLD HWY 8 NW CITY: ST. PAUL STATE: MN ZIP: 55112 BUSINESS PHONE: 651-259-1600 MAIL ADDRESS: STREET 1: 1225 OLD HWY 8 NW 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: Ward Scott R. CENTRAL INDEX KEY: 0001174531 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52082 FILM NUMBER: 161359306 MAIL ADDRESS: STREET 1: RAYMOND HOLDINGS, LLC STREET 2: 6410 BALLANTINE CT. CITY: INVER GROVE HEIGHTS STATE: MN ZIP: 55077 FORMER NAME: FORMER CONFORMED NAME: WARD SCOTT R DATE OF NAME CHANGE: 20020530 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2016-01-25 0001180145 Cardiovascular Systems Inc CSII 0001174531 Ward Scott R. 6410 BALLANTINE COURT INVER GROVE HEIGHTS MN 55077 1 1 0 0 Interim CEO and President Common Stock 2016-01-25 4 P 0 2700 9.30 A 9533 D Restricted Stock Units Common Stock 7134 7134 D Restricted Stock Units Common Stock 5294 5294 D Restricted Stock Units Common Stock 7987 7987 D 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 the Reporting Person'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 beginning six months following the termination of the Reporting Person's board membership; provided, however, that the restricted stock units vest in quarterly amounts of 1,324 shares on each of September 30, 2015 and December 31, 2015 and 1,323 shares on each of March 31, 2016 and June 30, 2016. 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 the Reporting Person's board membership; provided, however, that the restricted stock units vest upon cessation of Reporting Person's service as Interim Chief Executive Officer and President. /s/ Alexander Rosenstein as Attorney-in-Fact for Scott R. Ward pursuant to Power of Attorney previously filed. 2016-01-25