SEC Form 4 · accession 0000914190-16-000745
Cardiovascular Systems Inc · CSII
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Scott R. Ward
Officer — CEO and President · Director
Period of report
Aug 17, 2016
Accepted (ET)
Aug 18, 2016 · 5:30 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 17, 2016 | A | 118,814 | $0.00 | A | 128,347 | D | |
| Common StockF2 | Aug 17, 2016 | A | 33,991 | $0.00 | A | 162,338 | 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 UnitsF4,F3 | — | holding | — | — | — | — | — | Common Stock | 34,297 | 34,297 | D |
Explanation of responses
- F1Subject to performance-based forfeiture based on the three year total shareholder return for fiscal years 2017, 2018 and 2019 versus the Company's peer group.
- F2Restrictions lapse as to 11,331 shares on 8/13/17 and 11,330 shares on each of 8/13/18 and 8/13/19.
- 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 the Reporting Person's board membership.
- F4Represents the aggregate number of restricted stock units (all previously reported) held by reporting person that are payable in cash or shares of Company common stock beginning six months following the termination of each director's board membership.