SEC Form 4 · accession 0000914190-15-000316
Cardiovascular Systems Inc · CSII
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brent G Blackey
Director
Period of report
Aug 10, 2015
Accepted (ET)
Aug 12, 2015 · 4:40 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001180145
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Aug 12, 2015 | P | 2,500 | $22.74 | A | 59,645 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF6,F5 | — | Aug 10, 2015 | A | 2,541 | A | Aug 15, 2019 | Aug 15, 2019 | Common Stock | 2,541 | 2,541 | D |
| Restricted Stock UnitsF7 | — | Aug 10, 2015 | A | 5,294 | A | — | — | Common Stock | 5,294 | 5,294 | D |
| Stock Option (right to buy)F2 | $7.90 | holding | — | — | — | — | Oct 8, 2017 | Common Stock | 38,820 | 38,820 | D |
| Stock Option (right to buy)F2 | $7.90 | holding | — | — | — | — | Oct 8, 2017 | Common Stock | 6,470 | 6,470 | D |
| Restricted Stock UnitsF4,F3 | — | holding | — | — | — | — | — | Common Stock | 66,030 | 66,030 | D |
| Restricted Stock UnitsF5 | — | holding | — | — | — | Aug 13, 2015 | Aug 13, 2015 | Common Stock | 2,749 | 2,749 | D |
| Restricted Stock UnitsF5 | — | holding | — | — | — | Aug 31, 2016 | Aug 31, 2016 | Common Stock | 2,045 | 2,045 | D |
Explanation of responses
- F1The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $22.62 to $22.89 inclusive. The reporting person undertakes to provide Cardiovascular Systems, Inc., any security holder of Cardiovascular Systems, Inc. or the staff of the Securities and Exchange Commission upon request, full information regarding the number of shares purchased at each separate price within the range set forth in this footnote.
- F2Fully exercisable.
- F3Each restricted stock unit represents the right to receive a payment from CSI equal in value to the market price per share of CSI common stock on the date of payment and shall be payable in cash or shares of Company common stock beginning six months following the termination of each director's board membership.
- F4Represents restricted stock units held by reporting person previously reported as separate line items.
- F5Each restricted stock unit represents the right to receive a payment from CSI equal in value to the market price per share of CSI common stock on the date of payment and shall be payable in cash or shares of Company common stock beginning on the payment date.
- F6Represents restricted stock units received at the election of the reporting person, in lieu of cash payment, as a retainer for service as a director of the Company during fiscal year 2016.
- F7Each restricted stock unit represents the right to receive a payment from CSI equal in value to the market price per share of CSI common stock on the date of payment and shall be payable in cash or shares of Company common stock beginning six months following the termination of each director's board membership; provided, however, that the restricted stock units vest in quarterly amounts of 1,324 shares on each of September 30, 2015 and December 31, 2015 and 1,323 shares on each of March 31, 2016 and June 30, 2016.