-----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, UNv+g0oK5bcuXN3ICpOsWHHPzH7M7AkRlBMEZV9G5ITo4IS63YDWzYHoMqg0nTit C0USSX3+hi5AunWXFCx8yw== 0001209191-10-042221.txt : 20100812 0001209191-10-042221.hdr.sgml : 20100812 20100812123959 ACCESSION NUMBER: 0001209191-10-042221 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100812 FILED AS OF DATE: 20100812 DATE AS OF CHANGE: 20100812 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Anderson Steven Michael CENTRAL INDEX KEY: 0001361884 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18602 FILM NUMBER: 101010313 MAIL ADDRESS: STREET 1: 1768 SHOREWOOD CURVE CITY: ROSEVILLE STATE: MN ZIP: 55113 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 2010-08-12 0 0000824068 ATS MEDICAL INC ATSI 0001361884 Anderson Steven Michael 1768 SHOREWOOD CURVE ROSEVILLE MN 55113 1 0 0 0 Common Stock 2010-08-12 4 D 0 83239 D 0 D Common Stock 2010-08-12 4 D 0 3000 D 0 I IRA Common Stock 2010-08-12 4 D 0 2800 D 0 I Spouse IRA Common Stock 2010-08-12 4 D 0 2600 D 0 I Investment Club Director Option (Right to Buy) 2.95 2010-08-12 4 D 0 5000 4.00 D 2006-11-04 2013-05-04 Common Stock 5000 0 D Restricted Stock Unit 0.00 2010-08-12 4 D 0 15901 4.00 D 2011-06-30 2011-06-30 Common Stock 15901 0 D Restricted Stock Unit 0.00 2010-08-12 4 D 0 11392 4.00 D 2012-06-30 2012-06-30 Common Stock 11392 0 D In connection with the merger of a subsidiary of Medtronic, Inc. into Issuer on August 12, 2010 (the "Merger") pursuant to an agreement and plan of merger dated April 28, 2010, all shares of Issuer common stock were converted into the right to receive $4 per share in cash. This option was cancelled in the merger in exchange for the right to receive a cash payment equal to the product of (i) the total number of shares subject to the options, multiplied by (ii) the excess, if any, of $4 over the exercise price per share of the shares subject to the option, less any applicable withholding taxes. 1 unit for 1 share of Common Stock This restricted stock unit, the vesting of which was accelerated in connection with the Merger, was cancelled in the merger in exchange for the right to receive a cash payment equal to the product of (i) the total number of shares of stock represented by the restricted stock unit, multiplied by (ii) $4 per share, less applicable withholding taxes. 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 Steven M. Anderson 2010-08-12 -----END PRIVACY-ENHANCED MESSAGE-----