0001140361-12-004829.txt : 20120201 0001140361-12-004829.hdr.sgml : 20120201 20120201180653 ACCESSION NUMBER: 0001140361-12-004829 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120130 FILED AS OF DATE: 20120201 DATE AS OF CHANGE: 20120201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAMMOND JONATHAN CENTRAL INDEX KEY: 0001479876 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27605 FILM NUMBER: 12563728 MAIL ADDRESS: STREET 1: 6464 SYCAMORE COURT N. CITY: MINNEAPOLIS, STATE: MN ZIP: 55369 FORMER NAME: FORMER CONFORMED NAME: Hammond Jonathan M. DATE OF NAME CHANGE: 20100104 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 4 1 doc1.xml FORM 4 X0304 4 2012-01-30 0 0001030206 VASCULAR SOLUTIONS INC VASC 0001479876 HAMMOND JONATHAN C/O VASCULAR SOLUTIONS 6464 SYCAMORE COURT N. MINNEAPOLIS MN 55369 0 1 0 0 VP, Manufacturing Engineering Common Stock 27218 D Common Stock 2012-01-30 4 F 0 184 11.10 D 27034 D Common Stock 2012-02-01 4 F 0 184 10.80 D 26850 D Stock Option (Right to Buy) 10.28 2015-07-26 Common Stock 2000 2000 D 100% fully vested. /s/ Jonathan M. Hammond 2012-02-01