-----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, HXnZ3iLrtEBAH4nqj3Ogjf7ao+6DT6IY7BC2vJUnSCTr5jbm9NYqAOeLWSqq/emr A65mT03tv9smYu3fqFD32w== 0000914062-99-000042.txt : 19990215 0000914062-99-000042.hdr.sgml : 19990215 ACCESSION NUMBER: 0000914062-99-000042 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19981231 FILED AS OF DATE: 19990212 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: 99534881 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 IRS NUMBER: 581297864 STATE OF INCORPORATION: DE 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 - DECEMBER 1998 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 ( ) Form 4 Transactions Reported 1. Name and Address of Reporting Person LACY, VIRGINIA C. 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 December 1998 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)| | ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ 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)| | ___________________________________________________________________________________________________________________________________| Option |17.125 |5/21/|A |24,000 |A |5/21/|5/21/|Common Stock|24,000 |N/A |24,000 |D | | | |98 | | | |98 |03 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Option |16.75 |5/21/|D |6,000 |D |7/19/|7/19/|Common Stock|6,000 |N/A |0 |I |Estate(1) | | |98 | | | |97 |98 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Option |17.125 |5/22/|A |4,000 |A |5/22/|5/22/|Common Stock|4,000 |N/A |4,000 |D | | | |98 | | | |98 |03 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Option |16.75 |5/22/|D |2,000 |D |7/19/|7/19/|Common Stock|0 |N/A |0 |I |Estate(1) | | |98 | | | |97 |98 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Option |17.125 |5/21/|A |10,000 |A |5/21/|5/21/|Common Stock|10,000 |N/A |10,000 |D | | | |98 | | | |98 |03 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Option |17.125 |5/22/|A |5,000 |A |5/22/|5/22/|Common Stock|5,000 |N/A |5,000 |D | | | |98 | | | |98 |03 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Option |12.0625 |12/15|A |8,500 |A |12/15|12/15|Common Stock|8,500 |N/A |8,500 |D | | | |/98 | | | |/98 |/03 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________|
Explanation of Responses: (1) Option was held by the estate of Ms. Lacy's deceased spouse. SIGNATURE OF REPORTING PERSON VIRGINIA C. LACY DATE 2/4/99 -----END PRIVACY-ENHANCED MESSAGE-----