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