0001437749-22-019621.txt : 20220809
0001437749-22-019621.hdr.sgml : 20220809
20220809162436
ACCESSION NUMBER: 0001437749-22-019621
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220805
FILED AS OF DATE: 20220809
DATE AS OF CHANGE: 20220809
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: 221148707
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
rdgdoc.xml
FORM 4
X0306
4
2022-08-05
0001180145
Cardiovascular Systems Inc
CSII
0001174531
Ward Scott R.
1225 OLD HIGHWAY 8 NW
ST. PAUL
MN
55112
1
1
Chairman and CEO
Common Stock
2022-08-05
4
A
0
79940
0
A
660653
D
Common Stock
2022-08-05
4
A
0
239819
0
A
900472
D
Restricted Stock Units
Common Stock
34297
34297
D
Restrictions lapse as to 26,647 shares on each of 8/13/23 and 8/13/24 and as to 26,646 shares on 8/13/25.
Subject to performance-based forfeiture of 119,910 shares based on the Company's three-year total shareholder return for fiscal years 2023, 2024 and 2025 versus the Company's peer group, and for 119,909 shares based on the Company's average annual revenue growth in fiscal years 2023, 2024 and 2025.
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.
2022-08-09