0000914190-21-000303.txt : 20210823 0000914190-21-000303.hdr.sgml : 20210823 20210823185704 ACCESSION NUMBER: 0000914190-21-000303 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210819 FILED AS OF DATE: 20210823 DATE AS OF CHANGE: 20210823 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ward Scott R. CENTRAL INDEX KEY: 0001174531 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52082 FILM NUMBER: 211198131 MAIL ADDRESS: STREET 1: RAYMOND HOLDINGS, LLC STREET 2: 6410 BALLANTINE CT. CITY: INVER GROVE HEIGHTS STATE: MN ZIP: 55077 FORMER NAME: FORMER CONFORMED NAME: WARD SCOTT R DATE OF NAME CHANGE: 20020530 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Cardiovascular Systems Inc CENTRAL INDEX KEY: 0001180145 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 411698056 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 1225 OLD HWY 8 NW CITY: ST. PAUL STATE: MN ZIP: 55112 BUSINESS PHONE: 651-259-1600 MAIL ADDRESS: STREET 1: 1225 OLD HWY 8 NW CITY: ST. PAUL STATE: MN ZIP: 55112 FORMER COMPANY: FORMER CONFORMED NAME: REPLIDYNE INC DATE OF NAME CHANGE: 20020813 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2021-08-19 0001180145 Cardiovascular Systems Inc CSII 0001174531 Ward Scott R. 1225 OLD HIGHWAY 8 NW ST. PAUL MN 55112 1 1 0 0 Chairman and CEO Common Stock 2021-08-19 4 D 0 27842 0 D 601966 D Common Stock 2021-08-19 4 F 0 27637 36.18 D 574329 D Restricted Stock Units Common Stock 34297 34297 D Represents shares of performance-based restricted stock granted in August 2018 that have been forfeited based on the Company's three year total shareholder return for fiscal years 2019, 2020 and 2021 versus the Company's peer group. The reporting person has elected to satisfy his tax withholding obligation in connection with the vesting of a prior restricted stock grant by directing the Company to withhold shares otherwise issuable upon vesting of the previously reported grant. Each restricted stock unit represents the right to receive a payment from the Company equal in value to the market price per share of the Company's common stock on the date of payment and shall be payable in cash or shares of Company common stock beginning six months following the termination of the reporting person's board membership. /s/ Andrew Nick as Attorney-in-Fact for Scott R. Ward pursuant to Power of Attorney previously filed. 2021-08-23