-----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, CjpMAXIM7zr1lkTeu2R7bFWpNYF1xLjLOMGLWKJr/QG+czuwETHDR2Ur8SAzB9oo SQ0F36qm4a8NJjFZA3meQg== 0000914062-00-000163.txt : 20000419 0000914062-00-000163.hdr.sgml : 20000419 ACCESSION NUMBER: 0000914062-00-000163 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19991231 FILED AS OF DATE: 20000418 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: 5 SEC ACT: SEC FILE NUMBER: 001-13165 FILM NUMBER: 603700 BUSINESS ADDRESS: STREET 1: 1655 ROBERTS BOULEVARD N W STREET 2: STE 142 CITY: KENNESAW STATE: GA ZIP: 30144 BUSINESS PHONE: 7704193355 MAIL ADDRESS: STREET 1: 1655 ROBERTS BOULEVARD N W STREET 2: STE 142 CITY: KENNESAW STATE: GA ZIP: 30144 COMPANY DATA: COMPANY CONFORMED NAME: LACY VIRGINIA C CENTRAL INDEX KEY: 0001049531 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 1655 ROBERTS BLVD NW CITY: KENNESAW STATE: GA ZIP: 30144 BUSINESS PHONE: 7704193555 MAIL ADDRESS: STREET 1: 1655 ROBERTS BLVD NW CITY: KENNESAW STATE: GA ZIP: 30144 5 1 FORM 5 - 12/1999 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). ( ) Form 3 Holdings Reported (X) Form 4 Transactions Reported 1. Name and Address of Reporting Person LACY, VIRGINIA C. c/o CryoLife, Inc. 1655 Roberts Boulevard, NW Kennesaw, GA 30144 2. Issuer Name and Ticker or Trading Symbol CRYOLIFE, INC. CRY 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year 12/1999 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 7. Individual or Joint/Group Reporting (Check Applicable Line) (X) 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 | |Date |Code| | Beneficially |(D)or | | | | | | A/| | Owned at |Indir | | | | | Amount | D | Price | End of Year |ect(I)| | ___________________________________________________________________________________________________________________________________| Common Stock, $.01 par value |5-11-9|S4(1|500 |D |$11.25 | | | | |9 |) | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock, $.01 par value |5-11-9|S4(1|5,000 |D |11.00 | | | | |9 |) | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock, $.01 par value |5-11-9|S4(1|2,500 |D |11.125 | | | | |9 |) | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock, $.01 par value |5-12-9|S4(1|2,500 |D |11.125 | | | | |9 |) | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock, $.01 par value |5-12-9|S4(1|3,100 |D |11.00 | | | | |9 |) | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock, $.01 par value |5-13-9|S4(1|1,400 |D |11.25 |15,000 |I |Pension Plan (1) | |9 |) | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | |24,000 |D | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | |110,586 |I |Bene of IRA (2) | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | |215,500 |I |Bene of Trust (2) | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ 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 |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |ice 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 | | | Amount | |ble | | | |Year |(I)| | ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________|
Explanation of Responses: (1) Shares sold by the Precision Devices Qualified Pension Plan (the "Plan") of which Ms. Lacy is an administrator of the Plan. (2) Ms. Lacy is the beneficiary of a trust and two IRAs in the name of her deceased spouse. SIGNATURE OF REPORTING PERSON VIRGINIA C. LACY DATE April 11, 2000 -----END PRIVACY-ENHANCED MESSAGE-----