SEC Form 4 · accession 0001209191-15-037965

EXACTECH INC · EXAC

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

Reporting owner

David W Petty

Officer — Chief Executive Officer

Period of report

Apr 29, 2015

Accepted (ET)

May 1, 2015 · 4:40 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000913165

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1	holding	—	—		—	53,022	D

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)^F7	$23.28	Apr 29, 2015	A	30,000	A	Apr 29, 2020	Apr 29, 2022	Common Stock	30,000	30,000	D
Incentive Stock Option (right to buy)^F2	$14.12	holding	—	—	—	Nov 30, 2005	May 9, 2015	Common Stock	12,500	12,500	D
Incentive Stock Option (right to buy)^F2	$14.27	holding	—	—	—	Dec 18, 2011	Dec 18, 2016	Common Stock	2,500	2,500	D
Incentive/Non-Qualified Stock Option (right to buy)^F2	$17.02	holding	—	—	—	Feb 16, 2013	Feb 16, 2016	Common Stock	17,000	17,000	D
Incentive/Non-Qualified Stock Option (right to buy)^F2	$18.95	holding	—	—	—	Feb 28, 2014	Feb 28, 2017	Common Stock	4,400	4,400	D
Incentive/Non-Qualified Stock Option (right to buy)^F2,F3	$16.33	holding	—	—	—	Feb 22, 2017	Feb 22, 2019	Common Stock	22,500	22,500	D
Incentive/Non-Qualified Stock Option (right to buy)^F2,F4	$18.55	holding	—	—	—	Feb 25, 2018	Feb 25, 2020	Common Stock	14,500	14,500	D
Non-Qualified Stock Option (right to buy)^F2,F5	$20.90	holding	—	—	—	May 9, 2019	May 9, 2021	Common Stock	13,150	13,150	D

Explanation of responses

F1Since the date of the reporting person's last ownership report, he transferred 17,731 shares of Exactech common stock to his ex-wife pursuant to a domestic relations order. The reporting person no longer reports as beneficially owned any securities owned by his ex-wife.
F2Since the date of the reporting person's last ownership report, he transferred employee stock options to purchase 86,550 shares of Exactech common stock to his ex-wife pursuant to a domestic relations order. The reporting person no longer reports as beneficially owned any securities owned by his ex-wife.
F3Such options are currently exercisable as regards 13,499 of the covered shares. The remaining shares are exercisable, as regards 4,500 of the covered shares on the fourth anniversary of the date of grant, and as regards 4,501 of the covered shares, on the fifth anniversary of the date of grant.
F4Such options are currently exercisable as regards 5,800 of the covered shares. The remaining shares are exercisable, as regards 2,900 of the covered shares, on the third anniversary of the date of grant, as regards 2,900 of the covered shares on the fourth anniversary of the date of grant, and as regards 2,900 of the covered shares, on the fifth anniversary of the date of grant.
F5Such options are exercisable as regards 2,630 of the covered shares, on the first anniversary of the date of grant, as regards 2,630 of the covered shares, on the second anniversary of the date of grant, as regards 2,630 of the covered shares, on the third anniversary of the date of grant, as regards 2,630 of the covered shares on the fourth anniversary of the date of grant, and as regards 2,630 of the covered shares, on the fifth anniversary of the date of grant.
F6Such options were awarded pursuant to the Issuer's 2009 Executive Incentive Compensation Plan.
F7Such options are exercisable as regards 6,000 of the covered shares, on the first anniversary of the date of grant, as regards 6,000 of the covered shares, on the second anniversary of the date of grant, as regards 6,000 of the covered shares, on the third anniversary of the date of grant, as regards 6,000 of the covered shares on the fourth anniversary of the date of grant, and as regards 6,000 of the covered shares, on the fifth anniversary of the date of grant.