-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, QD6M6CpXKrqdZNwB/juRfoPeGUuNYmnYS55sDzfFRxjQ5rBtC7uK7O7njKDeJY6D aTWI4TmJYln0eSZtRgEg2g== 0001209191-04-033505.txt : 20040630 0001209191-04-033505.hdr.sgml : 20040630 20040630151604 ACCESSION NUMBER: 0001209191-04-033505 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040628 FILED AS OF DATE: 20040630 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: 000-27120 FILM NUMBER: 04891260 BUSINESS ADDRESS: STREET 1: KENSEY NASH CORP. STREET 2: 55 EAST UWCHLAN AVE. CITY: EXTON STATE: PA ZIP: 19341 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: 0630 BUSINESS ADDRESS: STREET 1: MARSH CREEK CORPORATE CENTER STREET 2: 55 EAST UWCHLAN AVE STE 204 CITY: EXTON STATE: PA ZIP: 19341 BUSINESS PHONE: 6105947156 MAIL ADDRESS: STREET 1: 55 EAST UWCHLAN AVE STREET 2: STE 201 CITY: EXTON STATE: PA ZIP: 19341 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-06-28 0 0001002811 KENSEY NASH CORP KNSY 0001225164 EVANS DOUGLAS G 55 EAST UWCHLAN AVE. EXTON PA 19341 1 1 0 0 COO Common Stock 62606 I By Trust Common Stock 1050 I By Child Employee Stock Options (rights to buy) 34.36 2004-06-28 4 A 0 45000 0.00 A 2014-06-28 Common Stock 45000 45000 D 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 child of Reporting Person living in the same household as the Reporting Person. Subject to certain restrictions, options to buy 45,000 shares will vest in three equal annual installments starting on June 28, 2005. /s/Douglas G. Evans, P.E. 2004-06-30 -----END PRIVACY-ENHANCED MESSAGE-----