0000784199-20-000129.txt : 20200507 0000784199-20-000129.hdr.sgml : 20200507 20200507173538 ACCESSION NUMBER: 0000784199-20-000129 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200505 FILED AS OF DATE: 20200507 DATE AS OF CHANGE: 20200507 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LEE DAVID ASHLEY CENTRAL INDEX KEY: 0001112830 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13165 FILM NUMBER: 20857837 MAIL ADDRESS: STREET 1: C/O CRYOLIFE INC STREET 2: 1655 ROBERTS BLVD NW CITY: KENNESAW STATE: GA ZIP: 30144 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 4 1 certent-form4.xml PRIMARY DOCUMENT X0306 4 2020-05-05 0000784199 CRYOLIFE INC CRY 0001112830 LEE DAVID ASHLEY CRYOLIFE, INC. 1655 ROBERTS BLVD, NW KENNESAW GA 30144 0 1 0 0 Executive VP, COO & CFO Common Stock 6500 I *Indirect shares owned by Spouse (5,000) and minor children (1,500) Phantom Stock 2020-05-05 4 A 0 2421 A Phantom Stock 2421 282692 D Represents phantom stock that is the economic equivalent of one share of CRY common stock. This phantom stock will not convert to shares, but will be settled in cash on or about April 27, 2021. /s/ David Ashley Lee 2020-05-07