X0306 4 2014-11-01 0 0001506492 Sunshine Heart, Inc. SSH 0001296853 MATHIESEN JEFFREY S 12988 VALLEY VIEW ROAD EDEN PRAIRIE MN 55344 0 1 0 0 Chief Financial Officer Common Stock 2014-11-01 4 F 0 953 4.85 D 39129 D Common Stock 11875 I IRA Employee Stock Option (right to buy) 6.23 2011-08-18 2021-08-17 Common Stock 52575 52575 D Employee Stock Option (right to buy) 7.3 2011-11-02 2021-11-01 Common Stock 5000 5000 D 953 shares were withheld to satisfy the insider's tax withholding obligation related to the vesting of 2,060 RSUs. On September 23, 2014, the Board of Directors supplemented the insider's Option Agreement to denominate the option exercise currency as US Dollars rather than Australian Dollars as denominated at the time of the grant. The options were originally reported on Form 3 in US currency as converted from the Australian Dollar amount of the exercise price. Gayle C. Aiken, by Power of Attorney 2014-11-03