-----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, HXST1OaT7gvm632JATMfIbO5NQ9bye6+tNZbsuZLEiV8we0e008UYwZfUkC247HB FQ1aS++8J5lOTmykCyQZzA== 0001209191-04-002464.txt : 20040109 0001209191-04-002464.hdr.sgml : 20040109 20040109180046 ACCESSION NUMBER: 0001209191-04-002464 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031219 FILED AS OF DATE: 20040109 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ATS MEDICAL INC CENTRAL INDEX KEY: 0000824068 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 411595629 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3905 ANNAPOLIS LA STREET 2: SUITE 105 CITY: MINNEAPOLIS STATE: MN ZIP: 55447 BUSINESS PHONE: 6125537736 MAIL ADDRESS: STREET 1: 3905 ANNAPOLIS LANE STREET 2: SUITE 105 CITY: MINNEAPOLIS STATE: MN ZIP: 55447 FORMER COMPANY: FORMER CONFORMED NAME: ATS MEDCIAL INC DATE OF NAME CHANGE: 19920803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DALE MICHAEL D CENTRAL INDEX KEY: 0001172346 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18602 FILM NUMBER: 04519135 BUSINESS ADDRESS: STREET 1: 1350 ENERGY LANE SUITE 110 CITY: ST PAUL STATE: MN ZIP: 545108 BUSINESS PHONE: 6515236900 MAIL ADDRESS: STREET 1: 1350 ENERGY LANE SUITE 110 CITY: ST PAUL STATE: MN ZIP: 55108 4 1 bmn81994_bmn1md.xml MAIN DOCUMENT DESCRIPTION X0201 42003-12-1900000824068ATS MEDICAL INC ATSI0001172346DALE MICHAEL D3905 ANNAPOLIS LANEMINNEAPOLISMN554470100Chief Executice OfficerOption (Right to Buy)3.802003-12-194M0500000A2004-12-192013-12-19Common Stock5000050000DOption grant date is December 19, 2003. Option vests in annual cumulative installments of 25% beginning one year from the date of grant./s/ Michael D. Dale2004-01-09 -----END PRIVACY-ENHANCED MESSAGE-----