-----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, UUwUgvHdLerJl5g/NjqtW4MwhzLuOI9ddBg+jfGD0M1UsYWpnOWDMtBFtGu0dX6N ye6+LjWaL02ADiI1gaU4EQ== 0000914062-96-000167.txt : 19961009 0000914062-96-000167.hdr.sgml : 19961009 ACCESSION NUMBER: 0000914062-96-000167 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19961008 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CRYOLIFE INC CENTRAL INDEX KEY: 0000784199 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 592417093 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21104 FILM NUMBER: 96640777 BUSINESS ADDRESS: STREET 1: 2211 NEW MARKET PKWY STREET 2: STE 142 CITY: MARIETTA STATE: GA ZIP: 30067 BUSINESS PHONE: 4049521660 MAIL ADDRESS: STREET 1: 2211 NEW MARKET PKWY STREET 2: STE 142 CITY: MARIETTA STATE: GA ZIP: 30067 COMPANY DATA: COMPANY CONFORMED NAME: ANDERSON STEVEN G CENTRAL INDEX KEY: 0000939535 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 2211 NEW MARKET PARKWAY STREET 2: STE 142 CITY: MARIETTA STATE: GA ZIP: 30067 BUSINESS PHONE: 7709521660 MAIL ADDRESS: STREET 1: C/O CRYOLIFE INC STREET 2: 2211 NEW MARKET PKWY STE 142 CITY: MARIETTA STATE: GA ZIP: 30067 4 1 FORM 4 - SEPTEMBER/1996 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). 1. Name and Address of Reporting Person Anderson, Steven G. 2211 New Market Parkway Suite 142 Marietta, GA 30067 USA 2. Issuer Name and Ticker or Trading Symbol CryoLife, Inc. CRYL 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year September/1996 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director (X) 10% Owner (X) Officer (give title below) ( ) Other (specify below) President, CEO and Chairman 7. Individual or Joint/Group Filing (Check Applicable Line) ( ) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person
___________________________________________________________________________________________________________________________________ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | | Transaction | or Disposed of (D) | Securities |ect | Beneficial Ownership | | | | | Beneficially |(D)or | | | | | | | A/| | Owned at |Indir | | | Date |Code|V| Amount | D | Price | End of Month |ect(I)| | ___________________________________________________________________________________________________________________________________| Common Stock |09/17/|M | |20,000 |A |$3.85 |1,037,000 |D | | |96 | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | | 110,000 |I |by Spouse | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Con- |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction | rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer | | | rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |Price of| | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva- | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu- | | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity |Date |Code|V| Amount | |ble | | | |Month |(I)| | ___________________________________________________________________________________________________________________________________| Option |$3.85 |09/17|M | |20,000 |D |* |12/16|Common Stock|20,000 |N/A |60,000 |D | | | |/96 | | | | | |/99 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | | | | | | | | | | ___________________________________________________________________________________________________________________________________|
Explanation of Responses: * Option vests over a five year period becoming exercisable in 20% increments each year 90 days prior to the anniversary date of the Grant Date [12/16/94], 20% on 9/17/95; 40% on 9/17/96; 60% on 9/17/97, 80% on 9/17/98, and 100% on 9/17/99. SIGNATURE OF REPORTING PERSON Steven G. Anderson DATE 10/01/96
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