0001596771-15-000061.txt : 20150813
0001596771-15-000061.hdr.sgml : 20150813
20150813104937
ACCESSION NUMBER: 0001596771-15-000061
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150811
FILED AS OF DATE: 20150813
DATE AS OF CHANGE: 20150813
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Sunshine Heart, Inc.
CENTRAL INDEX KEY: 0001506492
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 680533453
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 12988 VALLEY VIEW ROAD
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55344
BUSINESS PHONE: 952-345-4200
MAIL ADDRESS:
STREET 1: 12988 VALLEY VIEW ROAD
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55344
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BUCKMAN PAUL
CENTRAL INDEX KEY: 0001215243
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35312
FILM NUMBER: 151049297
MAIL ADDRESS:
STREET 1: 12988 VALLEY VIEW RD
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55402
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2015-08-11
0
0001506492
Sunshine Heart, Inc.
SSH
0001215243
BUCKMAN PAUL
12988 VALLEY VIEW RD
EDEN PRAIRIE
MN
55344
1
0
0
0
Common Stock
2015-08-11
4
P
0
10000
2.55
A
24012
D
Non-qualified Stock Option (right to buy)
6.23
2021-08-17
Common Stock
11685
11685
D
On September 23, 2014, the Board supplemented the Option Agreement for the insider to denominate the option exercise currency as US Dollars rather than Australian Dollars as originally denominated upon issuance. The options were originally reported on Form 3 in US currency, as converted from the Australian Dollar amount of the exercise price.
The option vested as to 1/48th of the shares each month with (i) 5 months vesting on August 18, 2011 and (ii) the remaining shares vesting equally for 43 consecutive months beginning September 17, 2011.
Gayle C. Aiken, by Power of Attorney
2015-08-13