0001140361-17-008627.txt : 20170222
0001140361-17-008627.hdr.sgml : 20170222
20170222163455
ACCESSION NUMBER: 0001140361-17-008627
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170217
FILED AS OF DATE: 20170222
DATE AS OF CHANGE: 20170222
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: SAUCEDO JORGE
CENTRAL INDEX KEY: 0001356852
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27605
FILM NUMBER: 17628905
MAIL ADDRESS:
STREET 1: C/O VASCULAR SOLUTIONS, INC.
STREET 2: 6464 SYCAMORE COURT N.
CITY: MINNEAPOLIS,
STATE: MN
ZIP: 55369
FORMER NAME:
FORMER CONFORMED NAME: Saucedo Jorge
DATE OF NAME CHANGE: 20060321
4
1
doc1.xml
FORM 4
X0306
4
2017-02-17
1
0001030206
VASCULAR SOLUTIONS INC
VASC
0001356852
SAUCEDO JORGE
C/O VASCULAR SOLUTIONS, INC.
6464 SYCAMORE COURT NORTH
MINNEAPOLIS
MN
55369
1
0
0
0
Common Stock
20805
D
Common Stock
2017-02-17
4
D
0
20805
D
0
D
Stock Option (Right to Buy)
6.39
2017-02-17
4
D
0
10000
49.61
D
2019-04-21
Common Stock
10000
0
D
Stock Option (Right to Buy)
9.61
2017-02-17
4
D
0
10000
46.39
D
2020-04-22
Common Stock
10000
0
D
Stock Option (Right to Buy)
11.72
2017-02-17
4
D
0
10000
44.28
D
2021-04-22
Common Stock
10000
0
D
Stock Option (Right to Buy)
11.63
2017-02-17
4
D
0
10000
44.37
D
2022-05-04
Common Stock
10000
0
D
In connection with the merger of Issuer and a subsidiary of Teleflex Incorporated (the "Merger") pursuant to an agreement and plan of merger dated December 1, 2016, all shares of Issuer common stock were canceled and automatically converted into the right to receive $56.00 per share in cash, without interest and less any applicable withholding taxes.
This option, which is fully vested, was canceled pursuant to the Merger in exchange for a cash payment of $496,100, representing the difference between the exercise price of the option and the merger consideration per share ($56.00) multiplied by the total number of shares underlying the option, less any applicable withholding taxes.
This option, which is fully vested, was canceled pursuant to the Merger in exchange for a cash payment of $463,900, representing the difference between the exercise price of the option and the merger consideration per share ($56.00) multiplied by the total number of shares underlying the option, less any applicable withholding taxes.
This option, which is fully vested, was canceled pursuant to the Merger in exchange for a cash payment of $442,800, representing the difference between the exercise price of the option and the merger consideration per share ($56.00) multiplied by the total number of shares underlying the option, less any applicable withholding taxes.
This option, which is fully vested, was canceled pursuant to the Merger in exchange for a cash payment of $443,700, representing the difference between the exercise price of the option and the merger consideration per share ($56.00) multiplied by the total number of shares underlying the option, less any applicable withholding taxes.
/s/ Jorge Saucedo
2017-02-22