0000784199-17-000009.txt : 20170222 0000784199-17-000009.hdr.sgml : 20170222 20170222183330 ACCESSION NUMBER: 0000784199-17-000009 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170219 FILED AS OF DATE: 20170222 DATE AS OF CHANGE: 20170222 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CRYOLIFE INC CENTRAL INDEX KEY: 0000784199 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 592417093 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1655 ROBERTS BOULEVARD N W CITY: KENNESAW STATE: GA ZIP: 30144 BUSINESS PHONE: 7704193355 MAIL ADDRESS: STREET 1: 1655 ROBERTS BOULEVARD N W CITY: KENNESAW STATE: GA ZIP: 30144 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Capps Scott B CENTRAL INDEX KEY: 0001409753 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13165 FILM NUMBER: 17630113 MAIL ADDRESS: STREET 1: C/O CRYOLIFE, INC. STREET 2: 1655 ROBERTS BLVD., NW CITY: KENNESAW STATE: GA ZIP: 30144 4 1 certent-form4.xml PRIMARY DOCUMENT X0306 4 2017-02-19 0000784199 CRYOLIFE INC CRY 0001409753 Capps Scott B CRYOLIFE, INC. 1655 ROBERTS BLVD, NW KENNESAW GA 30144 0 1 0 0 VP, Clinical Research Common Stock 2017-02-19 2017-02-20 4 F 0 1747 17.25 D 107366 D Common Stock 2017-02-19 2017-02-20 4 A 0 10471 17.25 A 109113 D Common Stock 2017-02-19 2017-02-20 4 F 0 785 17.25 D 98642 D Common Stock 2017-02-21 2017-02-21 4 A 0 4444 0 A 111810 D Stock Option (Right to Buy) 16.3 2018-02-21 2024-02-21 Common Stock 12520 12520 D These shares were withheld upon the vesting of restricted stock to pay tax withholding obligations. Represents performance stock units granted on February 19, 2016 and earned at approximately 142.2% of target based on 2016 adjusted EBITDA. Fifty percent (50%) were issued on February 19, 2017. The remaining shares earned in connection with the February 2016 grant will vest and be issued as follows: 50% on 02/19/2018, and 50% on 02/19/2019, assuming continued employment on the relevant vesting date. Represents share of restricted stock that vest on the third anniversary of the grant date if the reporting person remains in the continuous employ of the Company. /s/ Scott Capps 2017-02-22