0001209191-11-048735.txt : 20110922
0001209191-11-048735.hdr.sgml : 20110922
20110922154018
ACCESSION NUMBER: 0001209191-11-048735
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110920
FILED AS OF DATE: 20110922
DATE AS OF CHANGE: 20110922
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: 111103100
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
X0304
4
2011-09-20
0
0001002811
KENSEY NASH CORP
KNSY
0001225164
EVANS DOUGLAS G
735 PENNSYLVANIA DRIVE
EXTON
PA
19341
1
1
0
0
COO
Common Stock
217030
I
By Trust
Common Stock
1050
I
By Child
Stock Appreciation Right
25.64
2011-09-20
4
A
0
56150
0.00
A
2018-09-20
Common Stock
56150
56150
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.
The stock appreciation right will be settled in cash only.
Subject to the provisions of the award agreement and the plan under which it was issued, these Stock Appreciation Rights will vest in three equal annual installments on September 20, 2012, September 20, 2013 and September 20, 2014.
/s/Douglas G. Evans, P.E.
2011-09-22