FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
|
|||||||||||||||
|
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
|
2. Issuer Name and Ticker or Trading Symbol
MICRO THERAPEUTICS INC [ MTIX ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
||||||||||||||||||||||||
3. Date of Earliest Transaction
(Month/Day/Year) 01/06/2006 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 01/06/2006 | D | 2,256 | D | (1) | 0 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Common Stock Option | $2.02 | 01/06/2006 | D | 250,000 | (2) | 08/30/2012 | Common Stock | 250,000 | (2) | 0 | D | ||||
Common Stock Option | $5.35 | 01/06/2006 | D | 90,000 | (3) | 07/29/2013 | Common Stock | 90,000 | (3) | 0 | D | ||||
Common Stock Option | $3.84 | 01/06/2006 | D | 250,000 | (4) | 01/10/2015 | Common Stock | 250,000 | (4) | 0 | D |
Explanation of Responses: |
1. Disposed of in the merger between the issuer and a wholly-owned subsidiary of ev3 Inc. (the "Merger") in exchange for 1,074 shares of ev3 Inc. common stock having a market value of $14.00 per share on the effective date of the Merger and nominal cash consideration for fractional shares. |
2. This option, which provided for vesting in the amount of 25% in twelve months after August 30, 2002, with the remainder vesting in thirty-six equal monthly installments thereafter, was assumed by ev3 Inc. in the Merger and replaced with an option to purchase 119,072 shares of ev3 Inc. common stock for $4.24 per share. |
3. This option, which provided for vesting in forty-eight equal monthly installments beginning July 29,2003, was assumed by ev3 Inc. in the Merger and replaced with an option to purchase 42,866 shares of ev3 Inc. common stock for $11.23 per share. |
4. This option, which provided for vesting in the amount of 25% on January 10, 2005, with the remainder vesting in twenty-seven equal monthly installments thereafter, was assumed by ev3 Inc. in the Merger and replaced with an option to purchase 119,072 shares of ev3 Inc. common stock for $8.06 per share. |
/s/ Bruce Feuchter, Attorney-in-Fact for Reporting Person | 01/09/2006 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |