-----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, HZoPSnGkzTJnPUqaIZjBUYcPcQ6BGvcsPxkMWWVAfUjKgbQkxftTyPp6KJ3a6pZ4 eNulRiLAjdYDfEHUUIVqMw== 0000897101-04-000806.txt : 20040426 0000897101-04-000806.hdr.sgml : 20040426 20040426161016 ACCESSION NUMBER: 0000897101-04-000806 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: NIGON RICHARD CENTRAL INDEX KEY: 0001213869 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27605 FILM NUMBER: 04754334 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 vasc042113nigon_4ex.xml X0202 4 2004-04-22 0 0001030206 VASCULAR SOLUTIONS INC VASC 0001213869 NIGON RICHARD 6464 SYCAMORE COURT N. MINNEAPOLIS MN 55369 1 0 0 0 Common Stock 5000 D Common Stock 500 I See Footnote Stock Option (Right to Buy) 10.89 2004-04-22 4 A 0 10000 0.00 A 2004-04-22 2014-04-22 Common Stock 10000 10000 D Reporting person holds 5,000 shares directly that include 500 shares purchased for reporting person's IRA. Reporting person holds 500 shares indirectly and disclaims beneficial ownership of these shares. 100% fully vested. /s/ Richard Nigon 2004-04-26 -----END PRIVACY-ENHANCED MESSAGE-----