-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, DzU/W2r1c3aF3+bs2SuKGcTUbA5A+mjsHCq4XpJA0z6KnQpAiXtOoHjpLf/KKBWX qaM4tHZmjiDS26MzsYGeCw== 0001104659-05-063329.txt : 20051230 0001104659-05-063329.hdr.sgml : 20051230 20051230162141 ACCESSION NUMBER: 0001104659-05-063329 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20051229 ITEM INFORMATION: Entry into a Material Definitive Agreement ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20051230 DATE AS OF CHANGE: 20051230 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ev3 Inc. CENTRAL INDEX KEY: 0001318310 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 320138874 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 000-51348 FILM NUMBER: 051294891 BUSINESS ADDRESS: STREET 1: 4600 NATHAN LANE NORTH CITY: PLYMOUTH STATE: MN ZIP: 55442 BUSINESS PHONE: (763) 398-7000 MAIL ADDRESS: STREET 1: 4600 NATHAN LANE NORTH CITY: PLYMOUTH STATE: MN ZIP: 55442 8-K 1 a05-22564_18k.htm CURRENT REPORT OF MATERIAL EVENTS OR CORPORATE CHANGES

 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C.  20549

 


 

FORM 8-K

 

CURRENT REPORT

Pursuant to Section 13 or 15(d) of

the Securities Exchange Act of 1934

 


 

Date of Report (Date of earliest event reported):  December 29, 2005

 


 

ev3 Inc.

(Exact name of registrant as specified in its charter)

 

Delaware

 

000-51348

 

32-0138874

(State or Other Jurisdiction of
Incorporation)

 

(Commission File Number)

 

(I.R.S. Employer
Identification Number)

 

9600 54th Avenue North, Suite 100

 

 

Plymouth, Minnesota

 

55442

(Address of Principal Executive Offices)

 

(Zip Code)

 

(763) 398-7000

(Registrant’s telephone number, including area code)

 

4600 Nathan Lane North

Plymouth, Minnesota 55442

(Former name or former address, if changed since last report)

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

o            Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

o            Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

o            Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

o            Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

 



 

Item 1.01.              Entry into a Material Definitive Agreement.

 

On December 29, 2005, the non-employee director subcommittee of the Compensation Committee of ev3 Inc. approved restricted stock grants to certain members of ev3’s senior management team for that number of shares of ev3 common stock as indicated in the table below set forth opposite such officer’s name and title.  The stock grants were granted under the ev3 Inc. Amended and Restated 2005 Incentive Stock Plan and pursuant to the terms of a stock grant certificate, in substantially the form of Exhibit 10.1 attached to this report, which form is incorporated herein by this reference.  Each of the stock grants will vest and become non-forfeitable with respect to 25% of the shares underlying such stock grant on November 25, 2006, an additional 25% of the shares underlying such stock grant on November 25, 2007, an additional 25% of the shares underlying such stock grant on November 25, 2008 and the remaining shares underlying such stock grant on November 25, 2009. 

 

Name

 

Title

 

Shares
Underlying
Stock Grant

James M. Corbett

 

President and Chief Executive Officer

 

100,000

Stacy Enxing Seng

 

President, Cardio Peripheral Division

 

35,000

L. Cecily Hines

 

Vice President, Secretary and Chief Legal Officer

 

20,000

Jeffrey J. Peters

 

Vice President Research and Development, Cardio Peripheral Division and Chief Technology Officer

 

20,000

Gregory Morrison

 

Vice President, Human Resources

 

10,000

 

Item 9.01               Financial Statements and Exhibits.

 

(c)   Exhibits.

 

Exhibit No.

 

Description

10.1

 

Form of Stock Grant Certificate under the ev3 Inc. Amended and Restated 2005 Incentive Stock Plan (filed herewith electronically).

 

2



 

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

Dated: December 29, 2005

ev3 Inc.

 

 

 

 

 

 

 

By:

      /s/ L. Cecily Hines

 

 

Name: L. Cecily Hines

 

Title:  Vice President, Secretary and Chief Legal Officer

 

3



 

ev3 Inc.

CURRENT REPORT ON FORM 8-K

 

EXHIBIT INDEX

 

Exhibit
No.

 

Description

 

Method of Filing

10.1

 

Form of Stock Grant Certificate under the ev3 Inc. Amended and Restated 2005 Incentive Stock Plan

 

Filed herewith electronically

 

4


EX-10.1 2 a05-22564_1ex10d1.htm MATERIAL CONTRACTS

Exhibit 10.1

 

FORM OF

ev3 INC. 2005 INCENTIVE STOCK PLAN

STOCK GRANT CERTIFICATE

 

This Stock Grant Certificate evidences a Stock Grant made pursuant to the ev3 Inc. 2005 Incentive Stock Plan of [            ] shares of restricted Stock to [           ], who shall be referred to as “Grantee”.  This Stock Grant is granted effective as of [             ], which shall be referred to as the “Grant Date.”

 

 

 

ev3 INC.

 

 

 

 

 

 

 

By:

 

 

 

Name:

 

 

Title:

 

TERMS AND CONDITIONS

 

§ 1.                                                                            Plan and Stock Grant Certificate.  This Stock Grant is subject to all of the terms and conditions set forth in this Stock Grant Certificate and in the Plan. If a determination is made that any term or condition set forth in this Stock Grant Certificate is inconsistent with the Plan, the Plan shall control.  All of the capitalized terms not otherwise defined in this Stock Grant Certificate shall have the same meaning in this Stock Grant Certificate as in the Plan.  A copy of the Plan will be made available to Grantee upon written request to the corporate Secretary of the Company.

 

§ 2.                                                                            Stockholder Status.  Grantee shall have the right under this Stock Grant to receive cash dividends on all of the shares of Stock subject to this Stock Grant and to vote such shares until Grantee’s right to such shares is forfeited or becomes nonforfeitable.  If Grantee forfeits any shares under § 3, Grantee shall at the same time forfeit Grantee’s right to vote such shares and to receive cash dividends paid with respect to such shares.  Any Stock dividends or other distributions of property made with respect to shares that remain subject to forfeiture under § 3 shall be held by the Company, and Grantee’s rights to receive such dividends or other property shall be forfeited or shall be nonforfeitable at the same time the shares of Stock with respect to which the dividends or other property are attributable are forfeited or become nonforfeitable.  Except for the rights to receive cash dividends and vote the shares of Stock subject to this Stock Grant which are described in this § 2, Grantee shall have no rights as a Stockholder with respect to such shares of Stock until Grantee’s interest in such shares has become nonforfeitable.

 



 

§ 3.                                                                            Vesting and Forfeiture.

 

(a)                                  Vesting.  Subject to § 3(b), Grantee’s interest in the Stock subject to this Stock Grant shall become nonforfeitable as follows:

 

(1)                                  Grantee’s interest in 25% of the shares of Stock subject to this Stock Grant (rounding down to the nearest whole number of shares of Stock) shall become nonforfeitable only if Grantee continuously provides services to the Company or its Affiliates (whether as an employee or as a consultant) through [              ],

 

(2)                                  Grantee’s interest in an additional 25% of the shares of Stock subject to this Stock Grant (rounding down to the nearest whole number of shares of Stock) shall become nonforfeitable only if Grantee continuously provides services to the Company or its Affiliates (whether as an employee or as a consultant) through [              ],

 

(3)                                  Grantee’s interest in an additional 25% of the shares of Stock subject to this Stock Grant (rounding down to the nearest whole number of shares of Stock) shall become nonforfeitable only if Grantee continuously provides services to the Company or its Affiliates (whether as an employee or as a consultant) through [                ], and

 

(4)                                  Grantee’s interest in the all remaining shares of Stock subject to this Stock Grant shall become nonforfeitable only if Grantee continuously provides services to the Company or its Affiliates (whether as an employee or as a consultant) through [                ].

 

(b)                                 Forfeiture.  If Grantee’s continuous service relationship (including service as an employee and as a consultant) with the Company  and its Affiliates terminates for any reason whatsoever before his or her interest in all of the shares of Stock subject to this Stock Grant have become nonforfeitable under § 3(a), then he or she shall (except as provided in § 14 of the Plan) forfeit all of the shares of Stock subject to this Stock Grant except those shares in which he or she has (pursuant to § 3(a)) a nonforfeitable interest on the date Grantee’s service relationship with the Company and its Affiliates so terminates.

 

§ 4.                                                                            Stock Certificates.  The Company shall issue a stock certificate for the shares of Stock subject to this Stock Grant in the name of Grantee upon Grantee’s execution of the irrevocable stock power in favor of the Company attached as Exhibit A.

 

2



 

The Secretary of the Company shall hold such stock certificate representing such shares and any distributions made with respect to such shares (other than ordinary cash dividends) until such time as Grantee’s interest in such shares has become nonforfeitable or has been forfeited.  As soon as practicable after each date as of which Grantee’s interest in any shares becomes nonforfeitable under § 3(a), the Company shall issue to Grantee a stock certificate reflecting the shares in which his or her interest has become nonforfeitable on such date (together with any distributions made with respect to the shares that have been held by the Company).  If shares are forfeited, the shares (together with any distributions made with respect to the shares that have been held by the Company) automatically shall revert back to the Company.

 

§ 5.                                                                            Nontransferable.  No rights granted under this Stock Grant Certificate shall be transferable by Grantee other than by will or by the laws of descent and distribution.

 

§ 6.                                                                            Other Laws.  The Company shall have the right to refuse to transfer shares of Stock subject to this Stock Grant to Grantee if the Company acting in its absolute discretion determines that the transfer of such shares might violate any applicable law or regulation.

 

§ 7.                                                                            No Right to Continue ServiceNone of the Plan, this Stock Grant Certificate, or any related material shall give Grantee the right to remain employed by the Company or its Affiliates or to continue in the service of the Company or its Affiliates in any other capacity.

 

§ 8.                                                                            Governing LawThe Plan and this Stock Grant Certificate shall be governed by the laws of the State of Delaware.

 

§ 9.                                                                            Binding EffectThis Stock Grant Certificate shall be binding upon the Company and Grantee and their respective heirs, executors, administrators and successors.

 

§ 10.                                                                     Headings and SectionsThe headings contained in this Stock Grant Certificate are for reference purposes only and shall not affect in any way the meaning or interpretation of this Stock Grant Certificate.  All references to sections in this Stock Grant Certificate shall be to sections of this Stock Grant Certificate unless otherwise expressly stated as part of such reference.

 

3



 

Exhibit A

 

IRREVOCABLE STOCK POWER

 

As a condition to the issuance to the undersigned of a stock certificate for the [                ] shares of Stock which were granted to the undersigned as a Stock Grant under the ev3 Inc. 2005 Incentive Stock Plan in the Stock Grant Certificate dated [                ], the undersigned hereby executes this Irrevocable Stock Power in order to sell, assign and transfer to ev3 Inc. the shares of Stock subject to such Stock Grant for purposes of effecting any forfeiture called for under § 3(b) of the Stock Grant Certificate and does hereby irrevocably give ev3 Inc. the power (without any further action on the part of the undersigned) to transfer such shares of Stock on its books and records back to ev3 Inc. to effect any such forfeiture.  This Irrevocable Stock Power shall expire automatically with respect to the shares of Stock on the date such shares of Stock are no longer subject to forfeiture under § 3(b) of such Stock Grant Certificate or, if earlier, immediately after such a forfeiture has been effected with respect to such shares of Stock.

 

 

 

 

 

Signature

 

 

 

 

 

Print Name

 

 

 

 

 

Date

 

4


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