Filing Details

Accession Number:
0001140361-12-034329
Form Type:
4
Zero Holdings:
No
Publication Time:
2012-07-30 16:16:56
Reporting Period:
2012-07-26
Filing Date:
2012-07-30
Accepted Time:
2012-07-30 16:16:56
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1030206 Vascular Solutions Inc VASC Surgical & Medical Instruments & Apparatus (3841) 411859679
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1213861 Howard Root C/O Vascular Solutions Inc
6464 Sycamore Court N.
Minneapolis MN 55369
Chief Executive Officer Yes Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2012-07-26 50,000 $0.84 525,324 No 4 M Direct
Common Stock Disposition 2012-07-26 50,000 $13.15 475,324 No 4 S Direct
Common Stock Disposition 2012-07-26 1,000 $0.00 474,324 No 5 G Direct
Common Stock Disposition 2012-07-26 1,000 $0.00 473,324 No 5 G Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 S Direct
No 5 G Direct
No 5 G Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Stock Option (Right to Buy) Disposition 2012-07-26 50,000 $0.00 50,000 $0.84
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2013-02-18 No 4 M Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 475,324 Direct
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Stock Option (Right to Buy) $6.74 2014-01-27 50,000 50,000 Direct
Common Stock Stock Option (Right to Buy) $9.46 2015-01-28 75,000 75,000 Direct
Common Stock Stock Option (Right to Buy) $0.00 2022-01-27 450,000 450,000 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2014-01-27 50,000 50,000 Direct
2015-01-28 75,000 75,000 Direct
2022-01-27 450,000 450,000 Direct
Footnotes
  1. The price in column 4 is a weighted average price. The prices actually received for the stock ranged from $13.06 to $13.1925 per share. Mr. Root has provided to the Company and, upon request, will provide any security holder of the Company or the SEC staff information regarding the number of shares sold at each price within that range.
  2. 100% fully vested.
  3. 90,000 shares vest on January 27, 2013 with an exercise price of $11.03/share. 90,000 shares vest on January 27, 2014 with an exercise price of $12.03/share. 90,000 shares vest on January 27, 2015 with an exercise price of $13.03/share. 90,000 shares vest on January 27, 2016 with an exercise price of $14.03/share. 90,000 shares vest on January 27, 2017 with an exercise price of $15.03/share.