SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
SUTTER MARTIN P

(Last) (First) (Middle)
21 WATERWAY AVENUE
SUITE 225

(Street)
THE WOODLANDS TX 77380

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
ATS MEDICAL INC [ ATSI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
12/18/2009
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 50,000 D
Common Stock 12/18/2009 M 906,250 A $2.475 8,619,016(1) I Essex Woodlands Health Ventures Fund VIII, L.P.(2)
Common Stock 12/18/2009 M 65,341 A $2.475 621,434(1) I Essex Woodlands Health Ventures Fund VIII-A, L.P.(2)
Common Stock 12/18/2009 M 28,409 A $2.475 270,189(1) I Essex Woodlands Health Ventures Fund VIII-B, L.P.(2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Unit (3) 12/19/2010 12/19/2010 Common Stock 3,000 3,000 D
Warrant $2.475(4) 12/18/2009 M 906,250 12/19/2008 12/19/2015 Common Stock 2,311,635 $0.00 1,407,580(1) I Essex Woodlands Health Ventures Fund VIII, L.P.(2)
Warrant $2.475(4) 12/18/2009 M 65,341 12/19/2008 12/19/2015 Common Stock 168,358 $0.00 101,487(1) I Essex Woodlands Health Ventures Fund VIII-A, L.P.(2)
Warrant $2.475(4) 12/18/2009 M 28,409 12/19/2008 12/19/2015 Common Stock 73,199 $0.00 44,125(1) I Essex Woodlands Health Ventures Fund VIII-B, L.P.(2)
Restricted Stock Unit (3) 06/30/2011(5) 06/30/2011(5) Common Stock 15,901 15,901 D
Explanation of Responses:
1. Reflects an internal rebalancing of shares and warrants previously reported by the indirectly held Fund shares.
2. The reporting person is a managing director of the general partner of the partnership that owns the reported securities. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
3. 1 unit for 1 share of Common Stock
4. Warrants are exercisable at a price of $2.475 per share during the first year, $2.85 per share during the second year, and $3.10 thereafter.
5. Vest as to 100% on the earlier of this date, or the date of the second annual meeting following the date of grant.
Remarks:
/s/ Martin P. Sutter 12/22/2009
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.