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*
Centea Scott

(Last) (First) (Middle)
C/O ANGIODYNAMICS, INC.
14 PLAZA DRIVE

(Street)
LATHAM NY 12110

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/03/2020
3. Issuer Name and Ticker or Trading Symbol
ANGIODYNAMICS INC [ ANGO ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP/GM, VIT
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 45,853(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
Non-Qualified Stock Option (right to buy) (2) 07/14/2030 Common Stock 17,640 9.92 D
Performance Right (3) (3) Common Stock 11,782 (3) D
Non-Qualified Stock Option (right to buy) (4) 10/31/2029 Common Stock 50,000 15.3 D
Non-Qualified Stock Option (right to buy) (5) 10/24/2024 Common Stock 12,000 16.77 D
Explanation of Responses:
1. This number includes (i) 5,891 shares of common stock of AngioDynamics, Inc. ("Common Stock") underlying restricted stock units which vest in four equal annual installments beginning on July 14, 2021, such that 25% of the restricted stock units will vest on each of July 14, 2021, 2022, 2023 and 2024, (ii) 10,000 shares of Common Stock underlying restricted stock units which vest in four equal annual installments beginning on October 31, 2020, such that 25% of the restricted stock units will vest on each of October 31, 2020, 2021, 2022 and 2023, (iii) 2,995 shares of Common Stock underlying restricted stock units which vest in three equal annual installments on each of July 17, 2021, 2022 and 2023, (iv) 2,031 shares of Common Stock underlying restricted stock units which vest in two equal annual installments on each of July 18, 2021 and 2022, and (v) 1,101 shares of Common Stock underlying restricted stock units which vest on July 26, 2021.
2. These stock options vest in four equal annual installments beginning on July 14, 2021, such that 25% of the options will vest on each of July 14, 2021, 2022, 2023 and 2024.
3. Each performance right represents a contingent right to receive one share of Common Stock. The target number of shares of Common Stock is set forth in columns 5 and 7 of Table II. Between 0% and 200% of the target number will be earned based on achievement of pre-determined performance metrics for fiscal years 2021, 2022 and 2023. In addition, 20% of the total shares earned may be awarded (or cancelled) based on total shareholder return relative to a peer group of companies over a three-year performance period in accordance with performance metrics as determined by the compensation committee. Any shares that do not vest at the end of the performance period will be forfeited.
4. These stock options vest in four equal annual installments beginning on October 31, 2020, such that 25% of the options will vest on each of October 31, 2020, 2021, 2022 and 2023.
5. These stock options have fully vested and are exercisable.
Remarks:
Exhibit List: Exhibit 24.1 - Power of Attorney
/s/ Stephen A. Trowbridge, Attorney in Fact 09/14/2020
** 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.
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