0000914190-16-000811.txt : 20160902 0000914190-16-000811.hdr.sgml : 20160902 20160902162621 ACCESSION NUMBER: 0000914190-16-000811 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160831 FILED AS OF DATE: 20160902 DATE AS OF CHANGE: 20160902 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: Blackey Brent G CENTRAL INDEX KEY: 0001358186 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52082 FILM NUMBER: 161868972 MAIL ADDRESS: STREET 1: 8170 UPLAND CIRCLE CITY: CHANHASSEN STATE: MN ZIP: 55317 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2016-08-31 0001180145 Cardiovascular Systems Inc CSII 0001358186 Blackey Brent G 1225 OLD HIGHWAY 8 NW ST. PAUL MN 55112 1 0 0 0 Common Stock 2016-08-31 4 M 0 2045 A 64439 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 Restricted Stock Units Common Stock 71324 71324 D Restricted Stock Units 2016-08-31 4 M 0 2045 0 D 2016-08-31 2016-08-31 Common Stock 2045 0 D Restricted Stock Units 2019-08-15 2019-08-15 Common Stock 2541 2541 D Restricted Stock Units Common Stock 5949 5949 D Restricted Stock Units 2018-09-01 2018-09-01 Common Stock 2855 2855 D Restricted stock units were paid in shares of common stock on a one-for-one basis. 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. Represents the aggregate number of restricted stock units (all previously reported) held by reporting person that are 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 beginning 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 1,488 shares on September 30, 2016 and 1,487 shares on each of December 31, 2016, March 31, 2017 and June 30, 2017. /s/ Amanda Schmall as Attorney-in-Fact for Brent G. Blackey pursuant to Power of Attorney previously filed. 2016-09-02