-----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, O2T9iMKg+5tjxIbtneXV2b3WrlYg/XDGhCoIeuH3GHwQswTEKApTMZlGqemriP7W pqxStWFbNZvbHHW+xXRDBQ== 0001209191-08-039336.txt : 20080630 0001209191-08-039336.hdr.sgml : 20080630 20080630134223 ACCESSION NUMBER: 0001209191-08-039336 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080626 FILED AS OF DATE: 20080630 DATE AS OF CHANGE: 20080630 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: NOHRA GUY P CENTRAL INDEX KEY: 0001198330 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18602 FILM NUMBER: 08925027 BUSINESS ADDRESS: BUSINESS PHONE: 4153624022 MAIL ADDRESS: STREET 1: ONE EMBARCADERO CENTER SUITE 3700 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2008-06-26 0 0000824068 ATS MEDICAL INC ATSI 0001198330 NOHRA GUY P ONE EMBARCADERO CENTER SUITE 3700 SAN FRANCISCO CA 94111 1 0 0 0 Common Stock 2008-06-26 4 X 0 1960000 1.65 A 11760000 I By Fund Restricted Stock Unit 2009-06-28 2009-06-28 Common Stock 3000 3000 D Warrant 1.65 2008-06-26 4 X 0 1960000 0.00 D 2008-05-08 2014-06-28 Common Stock 1960000 0 I By Fund Restricted Stock Unit 2008-05-08 4 A 0 21327 0.00 A 2010-06-30 2010-06-30 Common Stock 21327 21327 D These securities are held of record by Alta Partners VIII, L.P. ("APVIII"). The reporting person is a managing director of the general partner of APVIII. As a managing director, he may be deemed to share voting and investment power over the securities held by APVIII. The reporting person disclaims beneficial ownership of such securities, except to the extent of his proportionate pecuniary interest therein. The restricted stock unit is convertible into common stock of the Issuer on a 1-for-1 basis. The restricted stock unit vests in full upon the second anniversary of the grant of the award. As described in previous filings by the reporting person, upon receipt of shareholder approval on May 8, 2008, the initial exercise date of the warrant became May 8, 2008 instead of June 28, 2008, and the warrant became a right to acquire shares of common stock instead of cash. Vests as to 100% the earlier of this date, or the date of the second annual meeting following the date of grant. /s/ Deborah Chapman, Attorney-in-Fact for Guy Nohra 2008-06-30 -----END PRIVACY-ENHANCED MESSAGE-----