Skokos Theodore C 4

4 · ATS MEDICAL INC · Filed May 14, 2010

Form 4

Period: 2010-05-12

Director

Transactions

Exercise/Conversion
Common Stock
2010-05-12+21,327→ 1,171,832 total
Exercise/Conversion
Restricted Stock Unit
2010-05-12−21,327→ 0 total
Exercise: $0.00From: 2010-06-30Exp: 2010-06-30→ Common Stock (21,327 underlying)
Award
Restricted Stock Unit
2010-05-12+11,392→ 11,392 total
Exercise: $0.00From: 2012-06-30Exp: 2012-06-30→ Common Stock (11,392 underlying)

Holdings

Common Stock
(indirect: By 3F Partners I)
2,227,956
Common Stock
(indirect: By 3F Partners II)
1,761,283
Common Stock
(indirect: Cardiac Concepts)
0
Restricted Stock Unit
Exercise: $0.00From: 2011-06-30Exp: 2011-06-30→ Common Stock (15,901 underlying)
15,901

Footnotes (4)

[F1]These two line items represent 368,188 shares previously shown as held indirectly through a corporation called Cardiac Concepts of which Mr. Skokos is the President. All of the shares held by Cardiac Concepts were distributed to its shareholders on January 20,2010. Mr. Skokos received 128,866 shares in this distribution which represented his pecuniary interest in the corporation. The remaining 239,322 shares held by Cardiac Concepts were distributed to the other shareholders of Cardiac Concepts. Mr. Skokos had no pecuniary interest in these 239,322 shares.
[F2]Reporting person is (a) president and sole stockholder of 3F Management, Inc., the general partner of 3F Partners Limited Partnership, (b) managing and sole member of 3F Management II, LLC, the general partner of 3F Partners Limited Partnership II, and (c) the president and beneficial owner of Cardiac Concepts, Inc.
[F3]1 unit for 1 share of Common Stock.
[F4]Vests as to 100% on the earlier of this date, or the date of the second annual meeting following the date of grant.

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