Nuwellis, Inc. — Director's Dealing 2012

Feb 14, 2012

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: Sunshine Heart, Inc. (SSH)
CIK: 0001506492
Period of Report: 2012-02-14

Reporting Person: MATHIESEN JEFFREY S (Chief Financial Officer)

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	11875	Indirect
Common Stock	2500	Direct

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Employee Stock Option - Right to Buy	$7.1218	2021-08-17	Common Stock (52575)		Direct
Employee Stock Option - Right to Buy	$8.3427	2021-11-01	Common Stock (5000)		Direct
Common Stock Warrant - Right to Buy	$11.3949	2015-09-16	Common Stock (4313)		Direct

Footnotes

F1: UBS is the reporting person's IRA account.

F2: Option vests as to (i) 1/4 of the Shares subject to this Option vest on February 17, 2012 and (ii) 1/36 of the remaining Shares subject to this Option vest each month, commencing March 17, 2012.

F3: Option vests as to (i) 1/4 of the Shares subject to this Option vest on September 2, 2012 and (ii) 1/36 of the remaining Shares subject to this Option vest each month, commencing November 2, 2012.

F4: Immediately exercisable.