0000914190-15-000322.txt : 20150812 0000914190-15-000322.hdr.sgml : 20150812 20150812164358 ACCESSION NUMBER: 0000914190-15-000322 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150810 FILED AS OF DATE: 20150812 DATE AS OF CHANGE: 20150812 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Martin David CENTRAL INDEX KEY: 0001304318 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52082 FILM NUMBER: 151047522 MAIL ADDRESS: STREET 1: 1225 OLD HIGHWAY 8 NW CITY: ST. PAUL STATE: MN ZIP: 55112 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2015-08-10 0001180145 Cardiovascular Systems Inc CSII 0001304318 Martin David 1225 OLD HIGHWAY 8 NW ST. PAUL MN 55112 1 1 0 0 President and CEO Common Stock 2015-08-10 4 A 0 56036 0 A 423454 D Common Stock 2015-08-10 4 A 0 56036 0 A 479490 D Common Stock 2015-08-10 4 A 0 37358 0 A 516848 D Common Stock 850 I By child Common Stock 350 I By child Common Stock 850 I By child Stock Option (right to buy) 7.90 2017-06-11 Common Stock 90580 90580 D Stock Option (right to buy) 12.15 2017-12-11 Common Stock 234395 234395 D Stock Option (right to buy) 8.75 2019-03-01 Common Stock 32350 32350 D Subject to performance-based forfeiture based on total shareholder return for fiscal 2016 versus the Company's peer group. Subject to performance-based forfeiture based on annual revenue growth for fiscal 2016 versus the Company's peer group. Restrictions lapse as to 12,453 shares on 8/13/16 and 8/13/17 and 12,452 shares on 8/13/18. Fully exercisable. /s/ Amanda Schmall as Attorney-in-Fact for David L. Martin pursuant to Power of Attorney previously filed. 2015-08-12