SEC Form 4 · accession 0001140361-16-089861
VASCULAR SOLUTIONS INC · VASC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard Nigon
Director
Period of report
Dec 13, 2016
Accepted (ET)
Dec 15, 2016 · 4:32 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001030206
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Dec 13, 2016 | G | 2,147 | $0.00 | D | 61,588 | D | |
| Common Stock | holding | — | — | — | 63,735 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F1 | $9.41 | holding | — | — | — | — | Apr 24, 2017 | Common Stock | 10,000 | 10,000 | D |
| Stock Option (Right to Buy)F1 | $6.36 | holding | — | — | — | — | Apr 22, 2018 | Common Stock | 10,000 | 10,000 | D |
| Stock Option (Right to Buy)F1 | $6.39 | holding | — | — | — | — | Apr 21, 2019 | Common Stock | 10,000 | 10,000 | D |
| Stock Option (Right to Buy)F1 | $9.61 | holding | — | — | — | — | Apr 22, 2020 | Common Stock | 10,000 | 10,000 | D |
| Stock Option (Right to Buy)F1 | $11.72 | holding | — | — | — | — | Apr 22, 2021 | Common Stock | 10,000 | 10,000 | D |
| Stock Option (Right to Buy)F1 | $11.63 | holding | — | — | — | — | May 4, 2022 | Common Stock | 10,000 | 10,000 | D |
Explanation of responses
- F1100% fully vested.