SEC Form 4 · accession 0000914190-17-000279
Cardiovascular Systems Inc · CSII
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brent G Blackey
Director
Period of report
Sep 12, 2017
Accepted (ET)
Sep 14, 2017 · 4:25 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 Stock | Sep 12, 2017 | M | 38,820 | $7.90 | A | 109,729 | 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 | $7.90 | Sep 12, 2017 | M | 38,820 | D | — | Oct 8, 2017 | Common Stock | 38,820 | 0 | D |
| Restricted Stock UnitsF3,F2 | — | holding | — | — | — | — | — | Common Stock | 77,273 | 77,273 | D |
| Restricted Stock UnitsF4 | — | holding | — | — | — | Aug 15, 2019 | Aug 15, 2019 | Common Stock | 2,541 | 2,541 | D |
| Restricted Stock UnitsF4 | — | holding | — | — | — | Sep 1, 2018 | Sep 1, 2018 | Common Stock | 2,855 | 2,855 | D |
| Restricted Stock UnitsF4 | — | holding | — | — | — | Sep 1, 2019 | Sep 1, 2019 | Common Stock | 2,095 | 2,095 | D |
| Restricted Stock UnitsF5 | — | holding | — | — | — | — | — | Common Stock | 4,029 | 4,029 | D |
Explanation of responses
- F1Fully exercisable.
- F2Each 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.
- F3Represents 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.
- F4Each 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.
- 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 six months following the termination of each director's board membership; provided, however, that the restricted stock units vest in quarterly amounts of 1,008 shares on September 30, 2017 and 1,007 shares on each of December 31, 2017, March 31, 2018 and June 30, 2018.