X0303 4 2011-02-11 0 0001114200 AMERICAN MEDICAL SYSTEMS HOLDINGS INC AMMD 0001325381 Nealon John F 10700 BREN ROAD WEST MINNETONKA MN 55343 0 1 0 0 Sr VP & Gen'l Mgr-Women's Hlth Common Stock 2011-02-11 4 A 0 4370 0 A 9590 D Non-Statutory Stock Option (right to buy) 20.05 2011-02-11 4 A 0 35210 0 A 2018-02-10 Common Stock 35210 35210 D These shares were issued pursuant to a restricted stock grant under the American Medical Systems Holdings, Inc. 2005 Stock Incentive Plan (as Amended and Restated), such shares will vest with respect to 25% of the shares on each of February 28, 2012, 2013, 2014 and 2015 and are subject to forfeiture until vested. Includes 5,220 shares issued pursuant to a restricted stock grant under the American Medical Systems Holdings, Inc. 2005 Stock Incentive Plan (as Amended and Restated), such shares are subject to forfeitures until vested. The option vests with respect to 25% of the shares on March 31, 2012 and with respect to the remaining shares, quarterly over the next three years. /s/ John F. Nealon 2011-02-14