0001140361-16-071175.txt : 20160629
0001140361-16-071175.hdr.sgml : 20160629
20160629162200
ACCESSION NUMBER: 0001140361-16-071175
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160627
FILED AS OF DATE: 20160629
DATE AS OF CHANGE: 20160629
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: 161739077
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
X0306
4
2016-06-27
0
0001030206
VASCULAR SOLUTIONS INC
VASC
0001213861
ROOT HOWARD
C/O VASCULAR SOLUTIONS, INC.
6464 SYCAMORE COURT NORTH
MINNEAPOLIS
MN
55369
1
1
0
0
Chief Executive Officer
Common Stock
348340
D
Common Stock
2016-06-27
4
G
0
500
0
D
347840
D
Stock Option (Right to Buy)
2022-01-27
Common Stock
400000
400000
D
90,000 shares (of which 40,000 shares remain subject to exercise) vested on January 27, 2013 with an exercise price of $11.03/share. 90,000 shares vested on January 27, 2014 with an exercise price of $12.03/share. 90,000 shares vested on January 27, 2015 with an exercise price of $13.03/share. 90,000 shares vested 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
2016-06-29