Filing Details

Accession Number:
0000914190-11-000335
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-05-31 13:07:51
Reporting Period:
2011-05-26
Filing Date:
2011-05-31
Accepted Time:
2011-05-31 13:07:51
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 2011-05-26 4,622 $3.00 5,404,622 No 4 P Direct
Common Stock Acquisiton 2011-05-27 4,622 $3.02 5,409,244 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
No 4 P Direct
Footnotes
  1. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $3.015 to $3.06, inclusive. The reporting person undertakes to provide Kips Bay Medical, Inc., any security holder of Kips Bay Medical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote.