0001179110-11-014961.txt : 20111108
0001179110-11-014961.hdr.sgml : 20111108
20111108204631
ACCESSION NUMBER: 0001179110-11-014961
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: JACOBSON HARRY R
CENTRAL INDEX KEY: 0001255835
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09913
FILM NUMBER: 111189288
MAIL ADDRESS:
STREET 1: 836 GLEN LEVEN DRIVE
CITY: NASHVILLE
STATE: TN
ZIP: 37204
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
0001255835
JACOBSON HARRY R
C/O KINETIC CONCEPTS, INC.
8023 VANTAGE DRIVE
SAN ANTONIO
TX
78230
1
0
0
0
Common Stock
2011-11-04
4
D
0
34294
68.50
D
0
D
Common Stock
2011-11-04
4
D
0
1000
68.5
D
0
I
By wife
Common Stock
2011-11-04
4
D
0
7838
68.50
D
0
D
Stock Option (right to buy)
61.78
2011-11-04
4
D
0
809
6.72
D
2007-11-09
2011-11-09
Common Stock
809
0
D
Stock Option (right to buy)
64.43
2011-11-04
4
D
0
4500
4.07
D
2008-05-24
2012-05-24
Common Stock
4500
0
D
Stock Option (right to buy)
39.28
2011-11-04
4
D
0
4500
29.22
D
2009-05-23
2013-05-23
Common Stock
4500
0
D
Stock Option (right to buy)
49.22
2011-11-04
4
D
0
4437
19.28
D
2010-05-22
2014-05-22
Common Stock
4437
0
D
Stock Option (right to buy)
40.77
2011-11-04
4
D
0
5572
27.73
D
2011-05-20
2018-05-20
Common Stock
5572
0
D
Stock Option (right to buy)
25.17
2011-11-04
4
D
0
8547
43.33
D
2012-05-27
2019-05-27
Common Stock
8547
0
D
Stock Option (right to buy)
41.72
2011-11-04
4
D
0
5175
26.78
D
2013-05-27
2020-05-27
Common Stock
5175
0
D
Restricted Stock Unit
2011-11-04
4
D
0
586
68.50
D
2014-05-24
2014-05-24
Common Stock
586
0
D
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 common stock was automatically converted into the right to receive $68.50.
Represents shares of unvested restricted common stock. Pursuant to the terms of the Agreement, on the effective date of 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 was cancelled in exchange for a cash payment of $5,436.48, representing the excess of $68.50 per underlying share of common stock over the $61.78 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 was cancelled in exchange for a cash payment of $18,315, representing the excess of $68.50 per underlying share of common stock over the $64.43 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 was cancelled in exchange for a cash payment of $131,490, representing the excess of $68.50 per underlying share of common stock over the $39.28 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 was cancelled in exchange for a cash payment of $85,545.36, representing the excess of $68.50 per underlying share of common stock over the $49.22 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 was cancelled in exchange for a cash payment of $154,511.56, representing the excess of $68.50 per underlying share of common stock over the $40.77 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 $370,341.51, representing the excess of $68.50 per underlying share of common stock over the $25.17 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 $138,586.50, representing the excess of $68.50 per underlying share of common stock over the $41.72 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 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