0001181431-12-037580.txt : 20120621 0001181431-12-037580.hdr.sgml : 20120621 20120621180805 ACCESSION NUMBER: 0001181431-12-037580 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120619 FILED AS OF DATE: 20120621 DATE AS OF CHANGE: 20120621 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: EVANS DOUGLAS G CENTRAL INDEX KEY: 0001225164 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34388 FILM NUMBER: 12920578 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KENSEY NASH CORP CENTRAL INDEX KEY: 0001002811 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 363316412 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 735 PENNSYLVANIA DRIVE CITY: EXTON STATE: PA ZIP: 19341 BUSINESS PHONE: 6105947156 MAIL ADDRESS: STREET 1: 735 PENNSYLVANIA DRIVE CITY: EXTON STATE: PA ZIP: 19341 4 1 rrd349436.xml FORM 4 X0305 4 2012-06-19 0 0001002811 KENSEY NASH CORP KNSY 0001225164 EVANS DOUGLAS G C/O 735 PENNSYLVANIA DRIVE EXTON PA 19341 1 1 0 0 COO Common Stock 2012-06-19 4 U 0 217030 38.50 D 0 I By Trust Common Stock 2012-06-19 4 U 0 1050 38.50 D 0 I By Child Shares held by Douglas G. Evans Revocable Trust, of which the Reporting Person is Trustee, for the benefit of Reporting person and his spouse. Shares acquired by minor children of Reporting Person living in the same household as the Reporting Person. /s/ Douglas G. Evans, P.E. 2012-06-21