-----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, Q5fYi38BWm+LeUidG1cdHvocIt8Qyf3m9XKHtqhGKFX1tPC7Ewn2BJTaP4OKYUsR HhTikn92cZXmkO64uove1w== 0001209191-05-047209.txt : 20050914 0001209191-05-047209.hdr.sgml : 20050914 20050914163451 ACCESSION NUMBER: 0001209191-05-047209 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050909 FILED AS OF DATE: 20050914 DATE AS OF CHANGE: 20050914 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 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: 051084716 BUSINESS ADDRESS: STREET 1: KENSEY NASH CORP. STREET 2: 55 EAST UWCHLAN AVE. CITY: EXTON STATE: PA ZIP: 19341 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2005-09-09 0 0001002811 KENSEY NASH CORP KNSY 0001225164 EVANS DOUGLAS G 55 EAST UWCHLAN AVE. EXTON PA 19341 1 1 0 0 COO Common Stock 2005-09-09 4 A 0 25443 0.00 A 39109 D Common Stock 66482 I By Trust Common Stock 1050 I By Child Restricted shares held in escrow by the Company that will vest in three equal annual installments starting on September 9, 2006. 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 2005-09-14 -----END PRIVACY-ENHANCED MESSAGE-----