Kolb Nancy A 4

4 · UROPLASTY INC · Filed Sep 21, 2012

Form 4

Period: 2012-09-20

VP Global Marketing

Transactions

Exercise/Conversion
common stock
2012-09-20$3.15/sh+15,000$47,250→ 64,925 total
Exercise/Conversion
non-qualified stock option
2012-09-20$3.15/sh+15,000$47,250→ 10,000 total
Exercise: $3.15From: 2008-06-24Exp: 2013-06-23→ common stock (25,000 underlying)
Exercise/Conversion
common stock
2012-09-20$4.11/sh+25,000$102,750→ 49,925 total
Exercise/Conversion
non-qualified stock option
2012-09-20$4.11/sh+25,000$102,750→ 0 total
Exercise: $4.11From: 2007-10-01Exp: 2012-09-30→ common stock (25,000 underlying)
Sale
common stock
2012-09-20$4.20/sh−40,000$168,000→ 24,925 total

Holdings

non-qualified stock option
Exercise: $0.85From: 2009-06-05Exp: 2014-06-04→ common stock (40,000 underlying)
40,000
non-qualified stock option
Exercise: $4.94From: 2011-06-08Exp: 2017-06-07→ common stock (6,525 underlying)
6,525
non-qualified stock option
Exercise: $7.98From: 2012-06-07Exp: 2018-06-06→ common stock (4,100 underlying)
4,100

Footnotes (5)

[F1]Includes 2,550 shares of restricted stock subject to risk of forfeiture that lapses with respect to one third of such shares on each of the second, third and fourth anniversaries of the grant date (June 8, 2010).
[F2]Includes 2,362 shares of restricted stock subject to risk of forfeiture that lapses with respect to one fourth of such shares on each of the first, second, third and fourth anniversaries of the grant date (June 7, 2011).
[F3]Includes 12,275 shares of restricted stock subject to risk of forfeiture that lapses with respect to one fourth of such shares on each of the first, second, third and fourth anniversaries of the grant date (June 7, 2012).
[F4]Becomes exercisable with respect to one-third of the shares on such date, and an additional, cumulative one-third on the first and second anniversary of such date.
[F5]Becomes exercisable with respect to one-third of the shares on the first, second and third anniversaries of the grant date (the grant date being one year prior to such date).

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