0001140361-12-004832.txt : 20120201
0001140361-12-004832.hdr.sgml : 20120201
20120201180851
ACCESSION NUMBER: 0001140361-12-004832
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120130
FILED AS OF DATE: 20120201
DATE AS OF CHANGE: 20120201
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: HENNEN JAMES
CENTRAL INDEX KEY: 0001275594
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27605
FILM NUMBER: 12563736
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
2012-01-30
0
0001030206
VASCULAR SOLUTIONS INC
VASC
0001275594
HENNEN JAMES
C/O VASCULAR SOLUTIONS
6464 SYCARMORE COURT N
MINNEAPOLIS
MN
55369
0
1
0
0
Sr. VP of Finance and CFO
Common Stock
65880
D
Common Stock
2012-01-30
4
F
0
850
11.10
D
65030
D
Common Stock
2012-02-01
4
F
0
817
10.80
D
64213
D
Stock Option (Right to Buy)
0.84
2013-02-18
Common Stock
10000
10000
D
Stock Option (Right to Buy)
6.74
2014-01-27
Common Stock
10000
10000
D
Stock Option (Right to Buy)
9.46
2015-01-28
Common Stock
10000
10000
D
100% fully vested.
/s/ James Hennen
2012-02-01