0000914062-01-500465.txt : 20011010
0000914062-01-500465.hdr.sgml : 20011010
ACCESSION NUMBER: 0000914062-01-500465
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20010924
FILED AS OF DATE: 20011009
COMPANY DATA:
COMPANY CONFORMED NAME: HEACOX ALBERT E
CENTRAL INDEX KEY: 0001013549
STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000]
OFFICER
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
BUSINESS ADDRESS:
STREET 1: 2211 NEW MARKET PKWY
STREET 2: SUITE 142
CITY: MARIETTA
STATE: GA
ZIP: 30067
BUSINESS PHONE: 7709521660
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: 001-13165
FILM NUMBER: 1754714
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
4
1
heacox4901.txt
FORM 4
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
HEACOX, ALBERT E., PH.D.
c/o CryoLife, Inc.
1655 Roberts Boulevard, N.W.
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
September 2001
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other
(specify below)
Sr. Vice President-Laboratory Operations
7. Individual or Joint/Group Filing (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 |
| | | | Beneficially |(D)or | |
| | | | | A/| | Owned at |Indir | |
| Date |Code|V| Amount | D | Price | End of Month |ect(I)| |
___________________________________________________________________________________________________________________________________|
Common Stock |9-24-0|G(1)|V|200 |D | |45,000 |I |(2) |
|1 | | | | | | | | |
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Common Stock |9-24-0|G(1)|V|200 |A | |72,196 |I |(3) |
|1 | | | | | | | | |
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| | | | | | |200 |I |(4) |
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| | | | | | | | | |
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___________________________________________________________________________________________________________________________________|
___________________________________________________________________________________________________________________________________
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)| |
___________________________________________________________________________________________________________________________________|
| | | | | | | | | | | | | | |
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| | | | | | | | | | | | | | |
___________________________________________________________________________________________________________________________________|
Explanation of Responses:
(1) Gift to daughter and son who are dependants.
(2) The 45,000 shares are owned by Dr. Heacox's spouse as Virginia Heacox FBO
Virginia Heacox, Trustee, or successor Trustees of the Virginia Heacox Living
Trust under and agreement dated 10-29-99.
(3) The 72,196 shares are owned by Albert E. Heacox, Trustee, Albert E. Heacox
Trust under an agreement dated 10-29-99.
(4) Includes 100 shares owned by Albert E. Heacox C/F Rachel K. Heacox UTMA/GA
and 100 shares owned by Albert E. Heacox C/F Daniel A. Heacox UTMA/GA. The
reporting person disclaims beneficial ownership of all securities held by his
daughter and son, and this report should not be deemed an admission that the
reporting person is the beneficial owner of such securities for purposes of
Section 16 or for any other purpose.
SIGNATURE OF REPORTING PERSON
/s/ Albert E. Heacox
Albert E. Heacox, Ph.D.
DATE
October 9, 2001