Filing Details

Accession Number:
0000914190-11-000565
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-11-17 17:07:14
Reporting Period:
2011-11-16
Filing Date:
2011-11-17
Accepted Time:
2011-11-17 17:07:14
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1460198 Kips Bay Medical Inc. KIPS Surgical & Medical Instruments & Apparatus (3841) 208947689
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
898379 A Manuel Villafana 3405 Annapolis Lane
Suite 200
Minneapolis MN 55447
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 2011-11-16 29,150 $1.69 5,481,397 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct