0001289340-11-000057.txt : 20111005 0001289340-11-000057.hdr.sgml : 20111005 20111005161248 ACCESSION NUMBER: 0001289340-11-000057 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111003 FILED AS OF DATE: 20111005 DATE AS OF CHANGE: 20111005 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Duggan Samuel W II CENTRAL INDEX KEY: 0001403049 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50884 FILM NUMBER: 111126967 MAIL ADDRESS: STREET 1: 7733 FORSYTH BLVD STREET 2: STE 2300 CITY: ST. LOUIS STATE: MO ZIP: 63015 FORMER NAME: FORMER CONFORMED NAME: Duggan Samuel M II DATE OF NAME CHANGE: 20070613 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Stereotaxis, Inc. CENTRAL INDEX KEY: 0001289340 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 943120386 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4320 FOREST PARK AVENUE STREET 2: SUITE 100 CITY: ST.LOUIS STATE: MO ZIP: 63108 BUSINESS PHONE: 314-678-6100 MAIL ADDRESS: STREET 1: 4320 FOREST PARK AVENUE STREET 2: SUITE 100 CITY: ST.LOUIS STATE: MO ZIP: 63108 4 1 edgar.xml PRIMARY DOCUMENT X0304 4 2011-10-03 0001289340 Stereotaxis, Inc. STXS 0001403049 Duggan Samuel W II C/O STEREOTAXIS, INC. 4320 FOREST PARK AVENUE, SUITE 100 ST. LOUIS MO 63108 0 1 0 0 Chief Financial Officer Common Stock 2011-10-03 4 A 0 25000 1.04 A 25000 D Stock Appreciation Rights 1.04 2011-10-03 4 A 0 175000 A 2012-10-03 2021-01-03 Common Stock 175000 175000 D Grant to reporting person of restricted stock having a fair market value of $1.04 per share on the date of grant. The shares are subject to forfeiture if certain performance criteria are not achieved over time. The stock appreciation rights vest as follows: (1) 25% vest one year after the date of grant, and (2) the remaining 75% vest ratably per month over the next three years. Price is not applicable to acquisitions resulting from grants of stock appreciation rights. /s/ Samuel W. Duggan 2011-10-05