SEC Form 4 · accession 0001140361-15-028634

ANGIODYNAMICS INC · ANGO

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

Reporting owner

David F Burgstahler

Director

Period of report

Jul 22, 2015

Accepted (ET)

Jul 24, 2015 · 9:26 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001275187

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1	Jul 22, 2015	A	5,266	$0.00	A	18,925	D
Common Stock^F2	holding	—	—		—	5,848,255	I	See footnote
Common Stock^F3	holding	—	—		—	1,542,132	I	See footnote
Common Stock^F4	holding	—	—		—	2,042,621	I	See footnote

Table II — derivative securities

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Non-Qualified Stock Option (right to buy)^F5	$15.95	Jul 22, 2015	A	6,022	A	Jul 22, 2016	Jul 22, 2022	Common Stock	6,022	6,022	D

Explanation of responses

F1The acquisition of 5,266 shares of common stock represents 5,266 restricted stock units, each of which represents a contingent right to receive one share of AngioDynamics, Inc. common stock. The restricted stock units vest in three equal installments beginning on 07/22/2016.
F2Represents shares of the Issuer held by Avista Capital Partners, L.P. ("ACP"). Avista Capital Partners GP, LLC ("ACP GP") is the general partner of ACP. Mr. Burgstahler is a member of the investment committee of ACP GP. By virtue of these relationships, Mr. Burgstahler may be deemed to share voting and dispositive power with respect to the shares of common stock held by ACP. Mr. Burgstahler expressly disclaims beneficial ownership of any such securities, except to the extent of his pecuniary interest therein.
F3Represents shares of the Issuer held by Avista Capital Partners (Offshore), LP ("ACP Offshore"). ACP GP is the general partner of ACP Offshore. Mr. Burgstahler is a member of the investment committee of ACP GP. By virtue of these relationships, Mr. Burgstahler may be deemed to share voting and dispositive power with respect to the shares of common stock held by ACP Offshore. Mr. Burgstahler expressly disclaims beneficial ownership of any such securities, except to the extent of his pecuniary interest therein.
F4Represents shares of the Issuer held by Navilyst Medical Co-Invest, LLC ("NM Co-Invest"). ACP GP is the managing member of NM Co-Invest. Mr. Burgstahler is a member of the investment committee of ACP GP. By virtue of these relationships, Mr. Burgstahler may be deemed to share voting and dispositive power with respect to the shares of common stock held by NM Co-Invest. Mr. Burgstahler expressly disclaims beneficial ownership of any such securities, except to the extent of his pecuniary interest therein.
F5Options for 33 1/3% of the shares are each exercisable on 07/22/2016, 07/22/2017 and 07/22/2018, respectively.