-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, T/buqWb+NQ3Ps0k4siV1HxU4Of2RlqP4kV83/mjLTwRrxS3ndekSOWplVaNzWjQZ BHLJkDZ1lIZsOK6OojfmRA== 0001209191-04-019980.txt : 20040408 0001209191-04-019980.hdr.sgml : 20040408 20040408113423 ACCESSION NUMBER: 0001209191-04-019980 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040407 FILED AS OF DATE: 20040408 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ATS MEDICAL INC CENTRAL INDEX KEY: 0000824068 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 411595629 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3905 ANNAPOLIS LA STREET 2: SUITE 105 CITY: MINNEAPOLIS STATE: MN ZIP: 55447 BUSINESS PHONE: 6125537736 MAIL ADDRESS: STREET 1: 3905 ANNAPOLIS LANE STREET 2: SUITE 105 CITY: MINNEAPOLIS STATE: MN ZIP: 55447 FORMER COMPANY: FORMER CONFORMED NAME: ATS MEDCIAL INC DATE OF NAME CHANGE: 19920803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DALE MICHAEL D CENTRAL INDEX KEY: 0001172346 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18602 FILM NUMBER: 04723927 BUSINESS ADDRESS: STREET 1: 1350 ENERGY LANE SUITE 110 CITY: ST PAUL STATE: MN ZIP: 545108 BUSINESS PHONE: 6515236900 MAIL ADDRESS: STREET 1: 1350 ENERGY LANE SUITE 110 CITY: ST PAUL STATE: MN ZIP: 55108 4 1 doc4.xml FORM 4 SUBMISSION X0201 4 2004-04-07 0 0000824068 ATS MEDICAL INC ATSI 0001172346 DALE MICHAEL D 3905 ANNAPOLIS LANE MINNEAPOLIS MN 55447 0 1 0 0 Chief Executive Officer Common Stock 2004-04-07 4 M 0 100000.0000 0.3700 A 114296.4100 D Option (Right to Buy) 0.3700 2004-04-07 4 M 0 100000.0000 0 D 2012-09-18 Common Stock 400000.0000 300000.0000 D Includes shares held in the employee stock purchase plan as of January 31, 2004. Option grant date is September 18, 2002. Option vests in annual cumulative installments of 25% beginning one year from the date of grant. /s/ Michael Dale 2004-04-08 -----END PRIVACY-ENHANCED MESSAGE-----