-----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, Mks8BQOQhNMWsyyDJlUJvUEhxVMS1ZHpfNT2Zq9PbsO37LDcz8kgunsl0qZCMYjy XenCDNAvOVku0FozLZq6sw== 0000914062-96-000118.txt : 19960711 0000914062-96-000118.hdr.sgml : 19960711 ACCESSION NUMBER: 0000914062-96-000118 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960710 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: 96592795 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: RONALD C ELKINS CENTRAL INDEX KEY: 0001016744 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: UNIVERSITY OF OKLAHOMA STREET 2: P.O. BOX 26901 CITY: OKLAHOMA CITY STATE: OK ZIP: 73190 BUSINESS PHONE: 4052715789 MAIL ADDRESS: STREET 1: UNIVERSITY OF OKLAHOMA STREET 2: P.O. BOX 26901 CITY: OKLAHOMA CITY STATE: OK ZIP: 73190 4 1 FORM 4 - JUNE/1996 U.S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. FORM 4 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). 1. Name and Address of Reporting Person ELKINS, RONALD C. 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 June/1996 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person to Issuer (Check all applicable) (X) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other (specify below)
___________________________________________________________________________________________________________________________________ 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 Year |ect(I)| | ___________________________________________________________________________________________________________________________________| Common Stock |06/06/|M |V| |A |$6.00 |3,100 |D | | |96 | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ 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 | | | |Year |(I)| | ___________________________________________________________________________________________________________________________________| Option |$6.00 |06/06|M |V|1,500 |D |* |11/05|Common Stock|1,500 |N/A |4,500 |D | | | |/96 | | | | | |/99 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | | | | | | | | | | ___________________________________________________________________________________________________________________________________|
Explanation of Responses: * Options vest over a period of five years becoming exercisable in 20% increments on 5/5/95, 5/5/96, 5/5/97, 5/5/98 and 5/5/99. SIGNATURE OF REPORTING PERSON Ronald C. Elkins DATE July 9,1996
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