-----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, BCNdjVdR82kuLqzN09lGj2rNlqiaE9Zon4+rTOQw7CgqEHyj9wjIRRqGiLWy3kY3 PEonrPM/DmwxoKOyBN6zjQ== 0001209191-06-054493.txt : 20061011 0001209191-06-054493.hdr.sgml : 20061011 20061011165345 ACCESSION NUMBER: 0001209191-06-054493 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061005 FILED AS OF DATE: 20061011 DATE AS OF CHANGE: 20061011 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: 061140418 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: 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 doc4.xml FORM 4 SUBMISSION X0202 4 2006-10-05 0 0001002811 KENSEY NASH CORP KNSY 0001225164 EVANS DOUGLAS G 735 PENNSYLVANIA DRIVE EXTON PA 19341 1 1 0 0 COO Common Stock 75311 I By Trust Common Stock 1050 I By Child Common Stock 23795 D Stock Appreciation Right 31.36 2006-10-05 4 A 0 35000 0.00 A 2011-10-05 Common Stock 35000 35000 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 children of Reporting Person living in the same household as the Reporting Person. Restricted shares held in escrow by the Company. The stock appreciation right will be settled in cash only. Subject to certain restrictions, these Stock Appreciation Rights will vest in three equal annual installments starting on October 5, 2007. /s/ Douglas G. Evans 2006-10-11 -----END PRIVACY-ENHANCED MESSAGE-----