-----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, QDaOPkocEifV2qUhbm86MnLvz1l8B2b7Y55PQFC1eT1YQKEhNhJaiUD0xTRl/Ok/ rflV4gNBovcqPLJW/H4M5g== 0001209191-08-043645.txt : 20080724 0001209191-08-043645.hdr.sgml : 20080724 20080724172301 ACCESSION NUMBER: 0001209191-08-043645 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080724 FILED AS OF DATE: 20080724 DATE AS OF CHANGE: 20080724 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Skokos Theodore C CENTRAL INDEX KEY: 0001376672 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18602 FILM NUMBER: 08968884 BUSINESS ADDRESS: BUSINESS PHONE: 214-599-7979 MAIL ADDRESS: STREET 1: 2801 TURTLE CREEK BLVD #6E CITY: DALLAS STATE: TX ZIP: 75219 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 X0303 4 2008-07-24 0 0000824068 ATS MEDICAL INC ATSI 0001376672 Skokos Theodore C 3905 ANNAPOLIS LANE PLYMOUTH MN 55447 1 0 0 0 Common Stock 2008-07-24 4 X 0 245098 2.04 A 870453 D Common Stock 1342089 I By 3F Partners I Common Stock 1060972 I By 3F Partners II Restricted Stock Unit 0.00 2008-09-29 2008-09-29 Common Stock 3000 3000 D Restricted Stock Unit 0.00 2009-06-30 2009-06-30 Common Stock 28662 28662 D Restricted Stock Unit 0.00 2010-06-30 2010-06-30 Common Stock 21327 21327 D Warrant 2.04 2008-07-24 4 X 0 245098 0.00 D 2008-06-29 2015-06-29 Common Stock 245098 0 D Reporting person is (a) president and sole stockholder of 3F Management, Inc., the general partner of 3F Partners Limited Partnership, (b)managing and sole member of 3F Management II, LLC, the general partner of 3F Partners Limited Partnership II, and (c) the president and beneficial owner of Cardiac Concepts, Inc. 1 unit for 1 share of Common Stock. Vests as to 100% on the earlier of this date, or the date of the second annual meeting following the date of grant. The right represented by this warrant is exercisable, in whole or in part, at any time and from time to time from June 29, 2008 through June 29, 2015. /s/ Deborah K. Chapman, Attorney-in-Fact for Theodore C. Skokos 2008-07-24 -----END PRIVACY-ENHANCED MESSAGE-----