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