0001140361-12-004406.txt : 20120131 0001140361-12-004406.hdr.sgml : 20120131 20120131122325 ACCESSION NUMBER: 0001140361-12-004406 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120127 FILED AS OF DATE: 20120131 DATE AS OF CHANGE: 20120131 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: MN 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: ROOT HOWARD CENTRAL INDEX KEY: 0001213861 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27605 FILM NUMBER: 12558176 MAIL ADDRESS: STREET 1: C/O VASCULAR SOLUTIONS, INC. STREET 2: 6464 SYCAMORE COURT N. CITY: MINNEAPOLIS, STATE: MN ZIP: 55369 4 1 doc1.xml FORM 4 X0304 4 2012-01-27 0 0001030206 VASCULAR SOLUTIONS INC VASC 0001213861 ROOT HOWARD C/O VASCULAR SOLUTIONS INC 6464 SYCAMORE COURT N. MINNEAPOLIS MN 55369 1 1 0 0 Chief Executive Officer Common Stock 499933 D Common Stock 2012-01-27 4 A 0 37000 A 536933 D Common Stock 2012-01-29 4 F 0 6523 11.03 D 530410 D Stock Option (Right to Buy) 0.84 2013-02-18 Common Stock 50000 50000 D Stock Option (Right to Buy) 6.74 2014-01-27 Common Stock 50000 50000 D Stock Option (Right to Buy) 9.46 2015-01-28 Common Stock 75000 75000 D Stock Option (Right to Buy) 2012-01-27 4 A 0 450000 0 A 2022-01-27 Common Stock 450000 450000 D Represents Restricted Stock Award that shall vest over 4 years at the rate of 50% on the 2nd anniversary date of the award and 25% on each anniversary date thereafter, subject to continued employment. 100% fully vested. 90,000 shares vest on January 27, 2013 with an exercise price of $11.03/share. 90,000 shares vest on January 27, 2014 with an exercise price of $12.03/share. 90,000 shares vest on January 27, 2015 with an exercise price of $13.03/share. 90,000 shares vest on January 27, 2016 with an exercise price of $14.03/share. 90,000 shares vest on January 27, 2017 with an exercise price of $15.03/share. /s/ Howard C. Root 2012-01-31