0001179110-11-014951.txt : 20111108 0001179110-11-014951.hdr.sgml : 20111108 20111108204235 ACCESSION NUMBER: 0001179110-11-014951 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111104 FILED AS OF DATE: 20111108 DATE AS OF CHANGE: 20111108 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lillback David A CENTRAL INDEX KEY: 0001507755 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09913 FILM NUMBER: 111189275 MAIL ADDRESS: STREET 1: 8023 VANTAGE DRIVE CITY: SAN ANTONIO STATE: TX ZIP: 78230 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KINETIC CONCEPTS INC CENTRAL INDEX KEY: 0000831967 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS FURNITURE & FIXTURES [2590] IRS NUMBER: 741891727 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8023 VANTAGE DR CITY: SAN ANTONIO STATE: TX ZIP: 78230 BUSINESS PHONE: 210.524.9000 MAIL ADDRESS: STREET 1: P0 B0X 659508 CITY: SAN ANTONIO STATE: TX ZIP: 78265-9508 FORMER COMPANY: FORMER CONFORMED NAME: KINETIC CONCEPTS INC /TX/ DATE OF NAME CHANGE: 19920703 4 1 edgar.xml FORM 4 - X0304 4 2011-11-04 1 0000831967 KINETIC CONCEPTS INC KCI 0001507755 Lillback David A KINETIC CONCEPTS, INC. 8023 VANTAGE DRIVE SAN ANTONIO TX 78230 0 1 0 0 SVP, Human Resources Common Stock 2011-11-04 4 D 0 3615 68.50 D 0 D Employee Stock Option (right to buy) 41.51 2011-11-04 4 D 0 9800 26.99 D 2014-12-16 2020-12-16 Common Stock 9800 0 D Employee Stock Option (right to buy) 46.64 2011-11-04 4 D 0 3700 21.86 D 2015-02-23 2021-02-23 Common Stock 3700 0 D Restricted Stock Unit 2011-11-04 4 D 0 9950 68.50 D 2014-02-22 2014-02-22 Common Stock 9950 0 D Restricted Stock Unit 2011-11-04 4 D 0 3700 68.50 D 2014-02-23 2014-02-23 Common Stock 3700 0 D Represents shares of unvested restricted common stock. Pursuant to the Agreement and Plan of Merger (the "Agreement") by and among Kinetic Concepts, Inc., Chiron Holdings, Inc. and Chiron Merger Sub, Inc., dated as of July 12, 2011, on the effective date of the merger contemplated by the Agreement (the "Merger"), each of these shares of unvested restricted common stock became fully vested and was converted into the right to receive $68.50. Pursuant to the terms of the Agreement, on the effective date of the Merger, each of these options became fully vested and was cancelled in exchange for a cash payment of $264,502, representing the excess of $68.50 per underlying share of common stock over the $41.51 per share exercise price of the option. Pursuant to the terms of the Agreement, on the effective date of the Merger, each of these options became fully vested and was cancelled in exchange for a cash payment of $80,882, representing the excess of $68.50 per underlying share of common stock over the $46.64 per share exercise price of the option. Pursuant to the terms of the Agreement, on the effective date of the Merger, each of these Restricted Stock Unit awards became fully vested as if the applicable target performance goal had been met and was cancelled in exchange for a cash payment of $68.50 per underlying share of common stock. /s/ John T. Bibb, Attorney-in-Fact 2011-11-08