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
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1. Name and Address of Reporting Person*
Wall Brett A.

(Last) (First) (Middle)
9600 54TH AVENUE NORTH
SUITE 100

(Street)
PLYMOUTH MN 55442

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/05/2009
3. Issuer Name and Ticker or Trading Symbol
ev3 Inc. [ evvv ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Sr. Vice President
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 19,884(1) 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
Stock Option (right to buy) (2) 09/14/2010 Common Stock 23,813 $15.74 D
Stock Option (right to buy) (2) 07/02/2011 Common Stock 14,288 $12.7 D
Stock Option (right to buy) (2) 01/09/2015 Common Stock 16,974 $8.0623 D
Stock Option (right to buy) (2) 02/28/2014 Common Stock 3,810 $8.1463 D
Stock Option (right to buy) (2) 04/03/2011 Common Stock 9,525 $10.3 D
Stock Option (right to buy) (3) 01/21/2017 Common Stock 11,250 $17.67 D
Stock Option (right to buy) (4) 10/03/2017 Common Stock 10,000 $16.64 D
Stock Option (right to buy) (5) 08/31/2018 Common Stock 11,075 $12.21 D
Stock Option (right to buy) (6) 05/01/2011 Common Stock 1,071 $9.35 D
Stock Option (right to buy) (7) 12/05/2015 Common Stock 18,000 $13.54 D
Stock Option (right to buy) (8) 02/11/2019 Common Stock 17,825 $6.2 D
Explanation of Responses:
1. Consists of an aggregate of 16,980 shares that will be issued over time upon vesting or earlier upon the achievement of certain milestones pursuant to restricted stock grants under the ev3 Inc. Second Amended and Restated 2005 Stock Incentive Plan and 1,682 shares purchased under the ev3 Inc. Employee Stock Purchase Plan.
2. This option has vested.
3. This option became exercisable as to 1/4 of the shares on January 22, 2008 and 1/36 of the remaining shares vest and become exercisable each month thereafter for 36 months.
4. This option became exercisable as to 1/4 of the shares on October 4, 2008 and 1/36 of the remaining shares vest and become exercisable each month thereafter for 36 months.
5. This option becomes exercisable as to 1/4 of the shares on September 1, 2009 and 1/36 of the remaining shares vest and become exercisable each month thereafter for 36 months.
6. This option became exercisable as to 1/4 of the shares on May 2, 2002 and 1/36 of the remaining shares vest and become exercisable each month thereafter for 36 months.
7. This option became exercisable as to 1/4 of the shares on December 6, 2006 and 1/36 of the remaining shares vest and become exercisable each month thereafter for 36 months.
8. This option becomes exercisable as to 1/4 of the shares on February 12, 2010 and 1/36 of the remaining shares vest and become exercisable each month thereafter for 36 months.
/s/ Kevin M. Klemz, attorney-in-fact 10/07/2009
** 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.