X0303 4 2011-03-07 0001460198 Kips Bay Medical, Inc. KIPS 0001384460 Winegar Michael P 3405 ANNAPOLIS LANE SUITE 200 MINNEAPOLIS MN 55447 1 1 0 0 Chief Operations Officer Common Stock 300000 D Stock Option (right to buy) 1.00 2017-09-01 Common Stock 50000 50000 D Stock Option (right to buy) 5.83 2018-06-01 Common Stock 10000 10000 D Stock Option (right to buy) 5.83 2019-01-01 Common Stock 30000 30000 D Stock Option (right to buy) 6.00 2019-09-04 Common Stock 10000 10000 D Stock Option (right to buy) 7.00 2020-01-22 Common Stock 25000 25000 D Stock Option (right to buy) 6.10 2011-03-07 4 A 0 25000 0 A 2021-03-07 Common Stock 25000 25000 D 12,500 shares vest on each of 9/1/08, 9/1/09, 9/1/10 and 9/1/11. 2,500 shares vest on each of 6/1/09, 6/1/10, 6/1/11 and 6/1/12. 7,500 shares vest on each of 1/1/10, 1/1/11, 1/1/12 and 1/1/13. 2,500 shares vest on each of 9/4/10, 9/4/11, 9/4/12 and 9/4/13. 6,250 shares vest on each of 1/22/11, 1/22/12, 1/22/13 and 1/22/14. 6,250 shares vest on each of 3/7/12, 3/7/13, 3/7/14 and 3/7/15. /s/ Michael P. Winegar 2011-03-08