-----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, DSNCLwbSUatYI4MG+FF+0tv9w9ZocVmggnaWluJRbVyilkc0kJo3a5wAllvr9/nI sMHP+iivU8EaPtXbN7B2Fw== 0001209191-04-024480.txt : 20040507 0001209191-04-024480.hdr.sgml : 20040507 20040507170708 ACCESSION NUMBER: 0001209191-04-024480 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040506 FILED AS OF DATE: 20040507 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BOEHNEN DAVID L CENTRAL INDEX KEY: 0001214543 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18602 FILM NUMBER: 04790014 BUSINESS ADDRESS: STREET 1: 11840 VALLEY VIEW ROAD CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 BUSINESS PHONE: 9528284963 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 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-05-06 0 0000824068 ATS MEDICAL INC ATSI 0001214543 BOEHNEN DAVID L 71 OTIS LANE ST. PAUL MN 55104 1 0 0 0 Common Stock 2004-02-25 5 G 0 E 10000.0000 0 D 64760.0000 D Common Stock 2004-02-02 5 G 0 E 3000.0000 0 D 0 I By Trust Option (Right to Buy) 4.8300 2004-05-06 4 A 0 2500.0000 0 A 2004-11-06 2014-05-06 Common Stock 2500.0000 2500.0000 D /s/ Deborah K. Chapman, Power of Attorney for David Boehnen 2004-05-07 -----END PRIVACY-ENHANCED MESSAGE-----