SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Snyder Mark D

(Last) (First) (Middle)
C/O CONMED CORPORATION
525 FRENCH ROAD

(Street)
UTICA NY 13502

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/25/2015
3. Issuer Name and Ticker or Trading Symbol
CONMED CORP [ CNMD ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP Mfg. Operations & Supply
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 8,104 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Rsus (restricted Stock Units) (1) 06/01/2020 Common Stock 800 0 D
Rsus (restricted Stock Units) (2) 06/01/2020 Common Stock 1,760 0 D
Rsus (restricted Stock Units) (1) 06/01/2021 Common Stock 1,600 0 D
Rsus (restricted Stock Units) (1) 06/01/2022 Common Stock 2,400 0 D
Rsus (restricted Stock Units) (1) 06/01/2023 Common Stock 3,200 0 D
Rsus (restricted Stock Units) (1) 06/01/2024 Common Stock 2,600 0 D
Sars (Stock Appreciation Rights) (3) 06/01/2020 Common Stock 6,000 19.26 D
Sars (Stock Appreciation Rights) (3) 06/01/2021 Common Stock 10,000 27.63 D
Sars (Stock Appreciation Rights) (3) 06/01/2022 Common Stock 10,000 26.09 D
Sars (Stock Appreciation Rights) (3) 06/01/2023 Common Stock 10,000 32.93 D
Sars (Stock Appreciation Rights) (3) 06/01/2024 Common Stock 6,500 44.9 D
Explanation of Responses:
1. Each restricted stock unit ("RSU") represents a contingent right to receive one share of common stock, par value $0.01 per share of ConMed Corporation (the "Company") and will be subject to the terms and conditions of the Company's 1999 Amended and Restated Long-Term Incentive Plan, with the RSUs generally vesting over a five year period with the first 20% of the RSU's vesting one year after the grant date.
2. Each restricted stock unit ("RSU") represents a contingent right to receive one share of common stock, par value $0.01 per share of ConMed Corporation (the "Company") and will be subject to the terms and conditions of the Company's 1999 Amended and Restated Long-Term Incentive Plan, with the RSUs vesting over a seven year period with 14% of the RSU's vesting in the first through the fifth year after the grant date and 15% vesting in the sixth and seventh year.
3. The stock appreciation rights ("SARs") were granted under the Company's 1999 Amended and Restated Long-Term Incentive Plan and generally vest in equal amounts over a five year period.
/s/ Daniel S. Jonas for Mark D. Snyder by Power of Attorney 03/05/2015
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.