x
|
|
ANNUAL
REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE
ACT OF
1934
|
¨
|
|
TRANSITION
REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE
ACT OF
1934
|
Delaware
|
|
13-3419202
|
(State
of Incorporation)
|
|
(I.R.S.
Employer Identification
Number)
|
Title
of each class
|
Name
of each exchange on which registered
|
|
Common
Stock, par value $0.33 per share
|
N/A
|
Large accelerated filer ¨
|
A
ccelerated filer ¨
|
Non-accelerated
filer x
|
|
Fiscal
2006
|
Fiscal
2005
|
|||||||||||
Fiscal
Quarter
|
High
|
Low
|
High
|
Low
|
|||||||||
First
Quarter Ended March 31
|
$
|
4.70
|
$
|
2.27
|
$
|
7.33
|
$
|
4.18
|
|||||
Second
Quarter Ended June 30
|
$
|
4.30
|
$
|
2.60
|
$
|
6.23
|
$
|
3.20
|
|||||
Third
Quarter Ended September 30
|
$
|
3.25
|
$
|
1.45
|
$
|
3.90
|
$
|
2.90
|
|||||
Fourth
Quarter Ended December 31
|
$
|
3.97
|
$
|
0.57
|
$
|
4.64
|
$
|
3.21
|
·
|
provides
competitive total compensation consisting primarily of cash and
stock,
|
·
|
allows
our officer’s to participate in the benefit programs that we offer to all
full-time employees,
|
·
|
provides
certain officer’s to receive additional fringe
benefits,
|
·
|
differentiates
rewards based on the officer’s contributions to company performance,
and
|
·
|
encourages
our named executive officers to act as owners with an equity interest
in
Patient Safety.
|
·
|
The
chief executive officer’s historical
earnings,
|
·
|
a
market competitive assessment of similar roles at other
companies,
|
·
|
the
earnings of other named executive officers, and
|
·
|
an
evaluation of the chief executive officer’s performance for the fiscal
year.
|
·
|
The
executive’s historical earnings,
|
·
|
a
market competitive assessment of similar roles at other
companies,
|
·
|
internal
comparisons to the compensation of other
executives,
|
·
|
evaluations
of performance for the fiscal year,
and
|
·
|
the
chief executive officer’s recommendations for each named executive
officer’s base pay, and bonus
amounts.
|
·
|
As
a package, these types of programs are typically offered by the types
of
companies from which we would seek executive
talent.
|
·
|
As
a package, these particular programs provide both a current and a
long
term incentive for the executive officers, thereby aligning the
executives’ interests with
shareholders.
|
·
|
These
programs, as a package, provide the executives with short and long
term
rewards; this serves as a retention, as well as a motivational, device
for
the executives..
|
Named
Executive Officer
|
Annualized
2006
Base
|
|
Annual
Increase
|
|
Annualized
2007
Base
|
|
Percentage
Increase
|
||||||
William
Horne, Chief Executive and Chief Financial Officer
|
$
|
150,000
|
$
|
100,000
|
$
|
250,000
|
66.7
|
%
|
|||||
|
|
|
|
|
|||||||||
Bill
Adams, President and Chief Executive Officer of SurgiCount Medical,
Inc.
|
$
|
300,000
|
$
|
0
|
$
|
300,000
|
0
|
%
|
|||||
|
|
|
|
|
|||||||||
Richard
Bertran, President of SurgiCount Medical, Inc.
|
$
|
200,000
|
$
|
50,000
|
$
|
250,000
|
25
|
%
|
|||||
|
|
|
|
|
|||||||||
Lynne
Silverstein, Executive Vice President
|
$
|
120,000
|
$
|
0
|
$
|
120,000
|
0
|
%
|
|||||
James
Schafer, Director of Manufacturing of SurgiCount
|
$
|
100,000
|
$
|
0
|
$
|
100,000
|
0
|
%
|
·
|
an
incentive to join the Company, based on compensation that is being
forfeited through the termination of previous
employment,
|
·
|
to
encourage retention of critical
talent,
|
·
|
as
a strategic investment in someone deemed critical to the Company’s
leadership, and
|
·
|
to
reward outstanding performance
|
·
|
They
can realize additional income if our shares increase in value,
and
|
·
|
They
have no personal income tax impact until they exercise the
options
|
SUMMARY
COMPENSATION TABLE
|
||||||||||||||||||||||||||||
Name
and principal position
|
Year
|
|
Salary
($)
|
|
Bonus
($)
|
|
Stock
Awards ($)(3)
|
|
Option
Awards ($)(3)
|
|
Non-Equity
Incentive Plan Compensation ($)
|
|
Nonqualified
Deferred Compensation Earnings ($)
|
|
All
Other Compensation
($)(4)
|
|
Total
($)
|
|||||||||||
William
B. Horne,
Chief
Executive &
Chief
Financial Officer(1)
|
2006
2005
2004
|
150,000
75,000
0
|
0
750
0
|
38,703
277,536
0
|
0
227,732
0
|
0
0
0
|
0
0
0
|
255
368
0
|
188,958
581,386
0
|
|||||||||||||||||||
Bill
Adams,
President
& Chief
Executive
Officer of SurgiCount (1)
|
2006
2005
2004
|
206,250
0
0
|
0
0
0
|
0
0
0
|
996,302
0
0
|
0
0
0
|
0
0
0
|
822
0
0
|
1,203,374
0
0
|
|||||||||||||||||||
Lynne
Silverstein,
Executive
Vice
President
|
2006
2005
2004
|
120,000
120,000
0
|
0
0
0
|
123,000
158,000
0
|
108,085
131,384
0
|
0
0
0
|
0
0
0
|
200
591
0
|
351,285
409,975
0
|
|||||||||||||||||||
Richard
Bertran,
President
of
SurgiCount
|
2006
2005
2004
|
200,000
92,500
0
|
0
750
0
|
0
36,000
0
|
0
343,195
0
|
0
0
0
|
0
0
0
|
360
433
0
|
200,360
47,878
0
|
|||||||||||||||||||
James
Schafer,
Director
of
Manufacturing
of SurgiCount
|
2006
2005
2004
|
100,000
39,807
0
|
0
750
0
|
0
50,000
0
|
0
186,324
0
|
0
0
0
|
0
0
0
|
342
361
0
|
100,342
277,242
0
|
|||||||||||||||||||
Louis
Glazer, M.D.,
Ph.G.,
Former Chief
Executive
Officer
|
2006
2005
2004
|
118,750
120,000
0
|
0
750
0
|
246,000
316,000
0
|
216,169
262,768
0
|
0
0
0
|
0
0
0
|
1,060
2,582
0
|
581,979
702,100
0
|
|||||||||||||||||||
Milton
“Todd” Ault III,
Former
Chief
Executive
Officer
|
2006
2005
2004
|
180,000
150,000
0
|
0
750
0
|
270,000
316,000
0
|
237,259
262,768
0
|
0
0
0
|
0
0
0
|
184
1,248
0
|
687,443
730,766
0
|
Mr.
Horne was appointed Chief Executive Officer on January 9,
2007.
|
(2)
|
Mr.
Adams was appointed President on February 28, 2007 and Chief Executive
Officer of SurgiCount on April 21, 2006.
|
(3)
|
Represents
the dollar amount recognized for financial reporting purposes of
restricted stock grants and stock options awarded in 2006, 2005 and
2004,
respectively, computed in accordance with SFAS
123(R).
|
(4)
|
Primarily
represents long term disability premiums and life insurance premiums
paid
by the Company
|
GRANTS
OF PLAN-BASED AWARDS
|
||||||||||||||||||||||||||||||||||
Estimated
Future Payouts Under Non-Equity Incentive Plan Awards
|
Estimated
Future Payouts Under Equity Incentive Plan Awards
|
All
Other
Stock
Awards:
Number
of
Shares
of Stocks
|
|
|
All
Other Option
Awards:
Number
of Securities
|
|
|
Exercise
or
Base
Price of Option
|
|
|
Grant
Date
Fair
Value of Stock and
|
|||||||||||||||||||||||
Name |
Grant
Date
|
Threshold
($)
|
Target
($)
|
Maximum
($)
|
Threshold
($)
|
Target
($)
|
Maximum
($)
|
or
Units(#)
|
Underlying
Options(#)
|
Awards
($/Sh)
|
Option
Awards
|
|||||||||||||||||||||||
William
B. Horne
|
3/29/2006
|
0
|
0
|
0
|
0
|
0
|
0
|
12,648
|
—
|
0
|
38,703
|
|||||||||||||||||||||||
Bill
Adams
|
4/18/2006
|
0
|
0
|
0
|
0
|
0
|
0
|
—
|
400,000
|
3.50
|
996,302
|
|||||||||||||||||||||||
Lynne
Silverstein
|
1/31/2006
1/31/2006
|
0
0
|
0
0
|
0
0
|
0
0
|
0
0
|
0
0
|
—
30,000
|
45,000
—
|
(1)
|
4.10
0
|
108,085
123,000
|
||||||||||||||||||||||
Richard
Bertran
|
—
|
0
|
0
|
0
|
0
|
0
|
0
|
—
|
—
|
0
|
0
|
|||||||||||||||||||||||
James
Schafer
|
—
|
0
|
0
|
0
|
0
|
0
|
0
|
—
|
—
|
0
|
0
|
|||||||||||||||||||||||
Louis
Glazer, M.D., Ph.G.,
|
1/31/2006
1/31/2006
|
0
0
|
0
0
|
0
0
|
0
0
|
0
0
|
0
0
|
—
60,000
|
90,000
—
|
(2)
|
4.10
0
|
216,169
246,000
|
||||||||||||||||||||||
Milton
“Todd” Ault III
|
1/09/2006
1/09/2006
|
0
0
|
0
0
|
0
0
|
0
0
|
0
0
|
0
0
|
—
60,000
|
90,000
—
|
(2)
|
4.50
0
|
237,259
270,000
|
(1)
|
15,000
options were cancelled subsequent to the grant
date.
|
(2) |
30,000
options were cancelled subsequent to the grant
date.
|
OUTSTANDING
EQUITY AWARDS AT FISCAL YEAR-END
|
||||||||||||||||||||||||||||
OPTION
AWARDS
|
STOCK
AWARDS
|
|||||||||||||||||||||||||||
Name
|
Number
of Securities Underlying Unexercised Options (#)
Exercisable
|
|
Number
of Securities Underlying Unexercised Options (#)
Unexercisable
|
|
Equity
Incentive Plan Awards: Number of Securities Underlying Unexercised
Unearned Options
(#)
|
|
Option
Exercise Price
($)
|
|
Option
Expiration
Date
|
|
Number
of Shares or Units of Stock That Have Not Vested (#)
|
|
Market
Value of Shares or Units of Stock That Have Not Vested
($)
|
|
Equity
Incentive Plan Awards: Number of Unearned Shares, Units or Other
Rights
That Have Not Vested
(#)
|
|
Equity
Incentive Plan Awards: Market or Payout Value of Unearned Shares,
Units or
Other Rights That Have Not Vested
(#)
|
|||||||||||
William
B. Horne
|
78,000
|
0
|
0
|
5.267
|
3/30/2015
|
0
|
0
|
0
|
0
|
|||||||||||||||||||
Bill
Adams
|
100,000
|
300,000
|
0
|
3.50
|
4/18/2016
|
0
|
0
|
0
|
0
|
|||||||||||||||||||
Lynne
Silverstein
|
45,000
30,000
|
0
0
|
0
0
|
5.267
4.10
|
3/30/2015
1/31/2016
|
0
0
|
0
0
|
0
0
|
0
0
|
|||||||||||||||||||
Richard
Bertran
|
66,667
|
133,333
|
0
|
5.00
|
7/18/2015
|
0
|
0
|
0
|
0
|
|||||||||||||||||||
James
Schafer
|
31,250
|
118,750
|
0
|
5.00
|
8/08/2015
|
0
|
0
|
0
|
0
|
|||||||||||||||||||
Louis
Glazer,
M.D.,
Ph.G.,
|
75,000
60,000
|
0
0
|
0
0
|
5.267
4.10
|
3/30/2015
1/31/2016
|
0
0
|
0
0
|
0
0
|
0
0
|
|||||||||||||||||||
Milton
“Todd”
Ault
III
|
75,000
60,000
|
0
0
|
0
0
|
5.267
4.10
|
3/30/2015
1/09/2016
|
0
0
|
0
0
|
0
0
|
0
0
|
OPTION
EXERCISES AND STOCK VESTED
|
|||||||||||||
|
OPTION
AWARDS
|
STOCK
AWARDS
|
|||||||||||
Name
|
Number
of
Shares
Aquired
on
Exercise
(#)
|
|
Value
Realized
on
Exercise
($)
|
|
Number
of
Shares
Aquired
on
Vesting
(#)
|
|
Value
Realized
on
Vesting
($)
|
||||||
William
B. Horne
|
0
|
0
|
49,751
|
161,365
|
|||||||||
Bill
Adams
|
0
|
0
|
0
|
0
|
|||||||||
Lynne
Silverstein
|
0
|
0
|
48,000
|
205,800
|
|||||||||
Richard
Bertran
|
0
|
0
|
0
|
0
|
|||||||||
James
Schafer
|
0
|
0
|
0
|
0
|
|||||||||
Louis
Glazer, M.D., Ph.G.,
|
0
|
0
|
96,000
|
411,600
|
|||||||||
Milton
“Todd” Ault III
|
0
|
0
|
96,000
|
435,600
|
Name
|
Fees
Earned or Paid in Cash
($)
|
|
Stock
Awards
($)(5)
|
|
Option
Awards
($)
(5)
|
|
Non-Equity
Incentive
Plan
Compensation
($)
|
|
Change
in Pension
Value
and Nonqualified
Deferred
Compensation
Earnings
($)
|
|
All
Other
Compensation
($)
|
|
Total
($)
|
|||||||||
Arnold
Spangler
|
0
|
43,000
|
37,786
|
0
|
0
|
0
|
80,786
|
|||||||||||||||
Herbert
Langsam
|
0
|
43,000
|
37,786
|
0
|
0
|
0
|
80,786
|
|||||||||||||||
David
Augustine (1)
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
|||||||||||||||
Wenchen
Lin (2)
|
0
|
0
|
0
|
0
|
0
|
0
|
0
|
|||||||||||||||
Alice
Campbell
(3)
|
0
|
49,450
|
37,786
|
0
|
0
|
0
|
87,236
|
|||||||||||||||
Brigadier
General (Ret.) Lytle Brown III
(4)
|
0
|
43,000
|
37,786
|
0
|
0
|
0
|
80,786
|
PATIENT
SAFETY TECHNOLOGIES, INC.
|
||
|
|
|
Date:
November 8, 2007
|
By: | /s/ William B. Horne |
William B. Horne |
||
Chief
Executive and Chief Financial Officer and
Principal
Accounting Officer
|
Signature
|
|
Title
|
|
Date
|
/s/
Arnold Spangler
|
|
Chairman
of the Board
|
|
November
8, 2007
|
Arnold
Spangler
|
|
|
|
|
|
|
|
|
|
/s/
William B. Horne
|
|
Chief
Executive, Chief Financial
|
|
|
William
B. Horne
|
|
Officer
and Principal Accounting
|
|
November
8, 2007
|
Officer
and Director
|
||||
|
|
|
|
|
/s/
David Augustine
|
|
Director
|
|
November
8, 2007
|
David
Augustine
|
|
|
|
|
|
||||
/s/
Louis Glazer
|
|
Director
|
|
November
8, 2007
|
Louis
Glazer, M.D., Ph.G.
|
|
|
|
|
|
||||
/s/
Herbert Langsam
|
|
Director
|
|
November
8, 2007
|
Herbert
Langsam
|
|
|
|
|
/s/
Wayne Lin
|
|
Director
|
|
November
8, 2007
|
Wayne
Lin
|
|
|
|