0000914190-19-000247.txt : 20190729 0000914190-19-000247.hdr.sgml : 20190729 20190729160945 ACCESSION NUMBER: 0000914190-19-000247 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190630 FILED AS OF DATE: 20190729 DATE AS OF CHANGE: 20190729 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Blackey Brent G CENTRAL INDEX KEY: 0001358186 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52082 FILM NUMBER: 19981278 MAIL ADDRESS: STREET 1: 8170 UPLAND CIRCLE CITY: CHANHASSEN STATE: MN ZIP: 55317 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 5 1 edgar.xml PRIMARY DOCUMENT X0306 5 2019-06-30 0 0 0001180145 Cardiovascular Systems Inc CSII 0001358186 Blackey Brent G 1225 OLD HIGHWAY 8 NW ST. PAUL MN 55112 1 0 0 0 Common Stock 2018-11-15 5 G 0 7500 0 D 89696 D /s/ Amanda Lorentz as Attorney-in-Fact for Brent G. Blackey pursuant to Power of Attorney previously filed. 2019-07-29