X0303 4 2011-02-28 0 0001114200 AMERICAN MEDICAL SYSTEMS HOLDINGS INC AMMD 0001469660 Rasmussen Thomas K 10700 BREN ROAD WEST MINNETONKA MN 55343 0 1 0 0 VP Mtka Op & Global Supply Chn Common Stock 2011-02-28 4 F 0 343 21.91 D 15520.761 D Includes 6,860 shares issued pursuant to restricted stock grants under the American Medical Systems Holdings, Inc. 2005 Stock Incentive Plan (as Amended and Restated), such shares are subject to forfeitures until vested and includes 5,723.761 shares that were purchased under the Employee Stock Purchase Plan. /s/ Thomas K. Rasmussen 2011-03-01