SEC Form 4
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
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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*
COFFINDAFFER THADDEUS

(Last) (First) (Middle)
3905 ANNAPOLIS LANE N.

(Street)
PLYMOUTH MN 55447

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
ATS MEDICAL INC [ ATSI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President of Sales
3. Date of Earliest Transaction (Month/Day/Year)
01/11/2010
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
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 01/11/2010 M 4,000 A $0.00 119,151.667(1)(2) D
Common Stock 01/11/2010 S(3) 40(3) D $3.253 119,111.667 D
Common Stock 01/11/2010 S(3) 950(3) D $3.2562 118,161.667 D
Common Stock 01/11/2010 S(3) 350(3) D $3.276 117,811.667(1) 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
Stock Option (Right to Buy) $3.36 (4) 08/06/2013 Common Stock 100,000 100,000 D
Stock Option (Right to Buy) $3.8 (4) 10/28/2013 Common Stock 5,000 5,000 D
Stock Option (Right to Buy) $3.8 (4) 12/19/2013 Common Stock 20,000 20,000 D
Restricted Stock Units (5) 01/11/2010 M 4,000 01/10/2007(6) 01/10/2011(7) Common Stock 8,000 $0.00 4,000 D
Restricted Stock Units (5) 03/15/2008(6) 03/15/2012(7) Common Stock 45,000 45,000 D
Restricted Stock Units (5) 03/15/2008(8) 03/15/2012(7) Common Stock 12,066 12,066 D
Restricted Stock Units (5) 03/15/2009(8) 03/15/2013(7) Common Stock 70,103 70,103 D
Restricted Stock Units (5) 07/30/2009(9) 07/30/2013(9) Common Stock 4,000 40,000 D
Restricted Stock Unit (5) 03/15/2010(6) 03/15/2014(7) Common Stock 60,665 66,065 D
Explanation of Responses:
1. Includes shares held in Employee Stock Purchase Plan as of a plan date of April 30, 2009.
2. Reflects an increase of 5,250 shares which have not been included on three Forms 4 filed between January 2009 and this filing. A Form 4 relating to vesting on January 12, 2009 of restricted stock units has been filed concurently with this filing.
3. The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on February 26, 2009.
4. Fully vested.
5. 1 unit for 1 share of Common Stock
6. Vests in 20% annual cumulative installments beginning the date shown.
7. Represents last vesting date.
8. Vests in 25% annual cumulative installments beginning the date shown.
9. Vests in 20% annual cumulative installments starting on the date shown; in the second year remaining vesting is subject to acceleration if certain performance criteria are met.
Remarks:
/s/ Deborah K. Chapman, Attorney in Fact for Thaddeus Coffindaffer 01/12/2010
** 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.
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