X0203 3/A 2011-02-16 2011-02-16 0 0001460198 Kips Bay Medical, Inc. KIPS 0001310813 Smith Arch C 3405 ANNAPOLIS LANE SUITE 200 MINNEAPOLIS MN 55447 1 0 0 0 Common Stock 4200 D Stock Options (Right to Buy) 5.83 2018-11-24 Common Stock 25000 D 6,250 shares vest on each of 11/24/08, 11/24/09, 11/24/10 and 11/24/11. /s/ Scott Dorfman as Attorney-in-Fact for Arch C. Smith pursuant to Power of Attorney previously filed. 2011-03-22