0001140361-11-032141.txt : 20110609 0001140361-11-032141.hdr.sgml : 20110609 20110609152543 ACCESSION NUMBER: 0001140361-11-032141 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110607 FILED AS OF DATE: 20110609 DATE AS OF CHANGE: 20110609 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HERREGRAVEN MARC CENTRAL INDEX KEY: 0001206038 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32632 FILM NUMBER: 11903130 MAIL ADDRESS: STREET 1: 1757 SNELLING AVENUE CITY: FALCON HEIGHTS STATE: MN ZIP: 55113 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UROPLASTY INC CENTRAL INDEX KEY: 0000890846 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 411719250 STATE OF INCORPORATION: MN FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 5420 FELTL ROAD CITY: MINNETONKA STATE: MN ZIP: 55343 BUSINESS PHONE: (952) 426-6140 MAIL ADDRESS: STREET 1: 5420 FELTL ROAD CITY: MINNETONKA STATE: MN ZIP: 55343 4 1 doc1.xml FORM 4 X0303 4 2011-06-07 0 0000890846 UROPLASTY INC UPI 0001206038 HERREGRAVEN MARC UROPLASTY, INC. 5420 FELTL ROAD MINNETONKA MN 55343 0 1 0 0 Vice President Manufacturing common stock 2011-06-07 4 A 0 3150 0 A 33850 D non-qualified stock options 2.65 2014-02-01 common stock 5000 5000 D non-qualified stock options 4.31 2012-07-02 common stock 20000 20000 D non-qualified stock options 3.15 2013-06-23 common stock 20000 20000 D non-qualified stock options 0.85 2014-06-04 common stock 30000 30000 D non-qualified stock options 4.94 2011-06-08 2017-06-07 common stock 6525 6525 D non-qualified stock options 7.98 2011-06-07 4 A 0 4100 0 A 2012-06-07 2018-06-06 common stock 4100 4100 D Includes 3,825 shares of restricted stock subject to risk of forfeiture that lapses with respect to one third of such shares on each of the second, third and fourth anniversaries of the grant date (June 8, 2010). Includes 3,150 shares of restricted stock subject to risk of forfeiture that lapses with respect to one fourth of such shares on each of the first, second, third and fourth anniversaries of the grant date (June 7, 2011). Fully vested. Becomes exercisable with respect to one-third of the shares on the first, second and third anniversaries of the grant date (the grant date being one year prior to such date). Signature is on behalf of Mr. Herregraven. Larry Bakeman 2011-06-09