-----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, Gt5UGb9fjeQx/TaTLImMq/X7cz7rIaYRUQ24XDBESGlg1Lp2FGjZg8IXwCdH3ddU hHFQJmVSJvqWKYM61JEUTQ== 0001209191-08-028877.txt : 20080509 0001209191-08-028877.hdr.sgml : 20080509 20080509153814 ACCESSION NUMBER: 0001209191-08-028877 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080508 FILED AS OF DATE: 20080509 DATE AS OF CHANGE: 20080509 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SIVERTSON ERIC W CENTRAL INDEX KEY: 0001239369 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18602 FILM NUMBER: 08818236 BUSINESS ADDRESS: STREET 1: 11710 IRISH AVENUE N CITY: STILLWATER STATE: MN ZIP: 55082 BUSINESS PHONE: 6514079943 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 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2008-05-08 0 0000824068 ATS MEDICAL INC ATSI 0001239369 SIVERTSON ERIC W 3905 ANNAPOLIS LANE MINNEAPOLIS MN 55447 1 0 0 0 Common STock 2008-05-08 4 M 0 18750 0.00 A 18750 D Option (Right to Buy) 3.19 2005-11-05 2012-05-05 Common Stock 2500 2500 D Restricted Stock Unit 0.00 2008-05-08 4 M 0 18750 0.00 D 2008-06-30 2008-06-30 Common Stock 18750 0 D Restricted Stock Unit 0.00 2009-06-30 2009-06-30 Common Stock 28662 28662 D Restricted Stock Unit 0.00 2008-05-08 4 A 0 21327 0.00 A 2010-06-30 2010-06-30 Common Stock 21327 21327 D 1 unit for 1 share of Common Stock. Vests as to 100% the earlier of this date, or the date of the second annual meeting following the date of grant. /s/ Deborah K. Chapman, Power of Attorney for Eric W. Sivertson 2008-05-09 -----END PRIVACY-ENHANCED MESSAGE-----