SEC Form 4 · accession 0000914190-15-000320

Cardiovascular Systems Inc · CSII

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — SVP Quality & Operations

Period of report

Aug 10, 2015

Accepted (ET)

Aug 12, 2015 · 4:43 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
Common Stock^F1	Aug 10, 2015	A	10,417	$0.00	A	71,172	D
Common Stock^F2	Aug 10, 2015	A	10,418	$0.00	A	81,590	D
Common Stock^F3,F4	Aug 10, 2015	A	6,945	$0.00	A	88,841	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Stock Option (right to buy)^F5	$8.83	holding	—	—	—	—	Apr 17, 2017	Common Stock	35,585	35,585	D
Stock Option (right to buy)^F5	$8.83	holding	—	—	—	—	Apr 17, 2017	Common Stock	1,294	1,294	D
Stock Option (right to buy)^F5	$7.90	holding	—	—	—	—	Jun 11, 2017	Common Stock	8,087	8,087	D
Stock Option (right to buy)^F5	$7.90	holding	—	—	—	—	Oct 8, 2017	Common Stock	12,940	12,940	D
Stock Option (right to buy)^F5	$12.15	holding	—	—	—	—	Dec 11, 2017	Common Stock	32,350	32,350	D
Stock Option (right to buy)^F5	$8.75	holding	—	—	—	—	Mar 1, 2019	Common Stock	8,087	8,087	D

F1Subject to performance-based forfeiture based on total shareholder return for fiscal 2016 versus the Company's peer group.
F2Subject to performance-based forfeiture based on annual revenue growth for fiscal 2016 versus the Company's peer group.
F3Restrictions lapse as to 2,315 shares on each of 8/13/16, 8/13/17 and 8/13/18.
F4Includes 306 shares acquired on June 30, 2015 through the Issuer's Employee Stock Purchase Plan.
F5Fully exercisable.