-----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, PBFAsIuocMWbkQ6jyfBzTf/GEtTr+LSNJdjGW6al2aCpOqUsQcVaM/PQ57BEPwBw rKaf/5tTc5vfEwIpeLw1gA== 0001209191-09-059118.txt : 20091230 0001209191-09-059118.hdr.sgml : 20091230 20091230184804 ACCESSION NUMBER: 0001209191-09-059118 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20090507 FILED AS OF DATE: 20091230 DATE AS OF CHANGE: 20091230 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: SUTTER MARTIN P CENTRAL INDEX KEY: 0001017832 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-18602 FILM NUMBER: 091267365 MAIL ADDRESS: STREET 1: 2170 BUCKTHORNE PLACE STREET 2: SUITE 170 CITY: THE WOODLAND STATE: TX ZIP: 77380 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0303 4/A 2009-05-07 2009-05-08 0 0000824068 ATS MEDICAL INC ATSI 0001017832 SUTTER MARTIN P 21 WATERWAY AVENUE SUITE 225 THE WOODLANDS TX 77380 1 0 1 0 Common Stock 50000 D Common Stock 7705447 I Essex Woodlands Health Ventures Fund VIII, L.P. Common Stock 561195 I Essex Woodlands Health Ventures Fund VIII-A, L.P. Common Stock 243997 I Essex Woodlands Health Ventures Fund VIII-B, L.P. Restricted Stock Unit 2010-12-19 2010-12-19 Common Stock 3000 3000 D Warrant 2008-12-19 2015-12-19 Common Stock 2311635 2311635 I Essex Woodlands Health Ventures Fund VIII, L.P. Warrant 2008-12-19 2015-12-19 Common Stock 168358 168358 I Essex Woodlands Health Ventures Fund VIII-A, L.P. Warrant 2008-12-19 2015-12-19 Common Stock 73199 73199 I Essex Woodlands Health Ventures Fund VIII-B, L.P. Restructed Stock Unit 2009-05-07 4 A 0 15901 0.00 A 2011-06-30 2011-06-30 Common Stock 15901 15901 D The reporting person is a managing director of the general partner of the partnership that owns the reported securities. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. 1 unit for 1 share of Common Stock Warrants are exercisable at a price of $2.475 per share during the first year, $2.85 per share during the second year, and $3.10 thereafter. Vest as to 100% the earlier of this date, or the date of the second annual meeting following the date of grant. EXHIBIT 24: Confirming Statement attached. THIS AMENDMENT RESTATES IN ENTIRETY WITHOUT CHANGE THE FORM 4 AND ATTACHES THE CONFIRMING STATEMENT RELATING TO THE FILING OF THE FORM 4. /s/ Martin P. Sutter 2009-12-29 EX-24.4A_310064 2 poa.txt POA DOCUMENT CONFIRMING STATEMENT This Statement confirms that the undersigned, Martin P. Sutter, authorized and designated Deborah K. Chapman to execute and file on the undersigned's behalf the Form 4 dated May 8, 2009, filed with the Securities and Exchange Commission as a result of the undersigned's receipt of restricted stock units on May 7, 2009. The undersigned acknowledges that such persons are not assuming any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934. Dated: December 29, 2009 /s/ Martin P. Sutter Martin P. Sutter -----END PRIVACY-ENHANCED MESSAGE-----