-----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, KCmr1hXcqKj5EH4ueSddmRFXyaHKjX6JWkZbQz4oc9fkVG4xVqn/k3xjmgyGwkQQ cNmbPt/5mri0Q5ZIA82+fA== 0000897101-04-000805.txt : 20040426 0000897101-04-000805.hdr.sgml : 20040426 20040426160937 ACCESSION NUMBER: 0000897101-04-000805 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040422 FILED AS OF DATE: 20040426 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VASCULAR SOLUTIONS INC CENTRAL INDEX KEY: 0001030206 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 411859679 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6464 SYCAMORE COURT NORTH CITY: MINNEAPOLIS STATE: MN ZIP: 55369 BUSINESS PHONE: 7636564300 MAIL ADDRESS: STREET 1: 6464 SYCAMORE COURT NORTH CITY: MINNEAPOLIS STATE: MN ZIP: 55369 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DORFMAN GARY S CENTRAL INDEX KEY: 0001213870 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27605 FILM NUMBER: 04754327 BUSINESS ADDRESS: STREET 1: C/O VASCULAR SOLUTIONS INC STREET 2: 2495 XENIUM LN CITY: MINNEAPOLIS STATE: MN ZIP: 55441 BUSINESS PHONE: 7636564300 MAIL ADDRESS: STREET 1: C/O VASCULAR SOLUTIONS INC STREET 2: 2495 XENIUM LN CITY: MINNEAPOLIS STATE: MN ZIP: 55441 4 1 vasc042116dorfman_4ex.xml X0202 4 2004-04-22 0 0001030206 VASCULAR SOLUTIONS INC VASC 0001213870 DORFMAN GARY S 6464 SYCAMORE COURT N. MINNEAPOLIS MN 55369 1 0 0 0 Stock Option (Right to Buy) 10.89 2004-04-22 4 A 0 10000 0 A 2004-04-22 2014-04-22 Common Stock 10000 10000 D 100% fully vested. /s/ Gary Dorfman 2004-04-26 -----END PRIVACY-ENHANCED MESSAGE-----