SEC Form 4 · accession 0001093557-16-000692
DEXCOM INC · DXCM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Sep 9, 2016 | J | 8,333 | $95.80 | D | 68,000 | D | |
| Common StockF1,F2 | Sep 9, 2016 | J | 6,666 | $95.80 | D | 61,334 | D | |
| Common StockF1,F3 | Sep 9, 2016 | J | 8,333 | $95.80 | A | 52,181 | I | by Trust |
| Common StockF1,F3 | Sep 9, 2016 | J | 6,666 | $65.80 | A | 58,847 | I | by Trust |
| Common StockF4,F3 | Sep 9, 2016 | D | 4,445 | $93.7226 | D | 54,402 | I | by Trust |
| Common StockF4,F3 | Sep 9, 2016 | D | 3,556 | $93.7229 | D | 50,846 | I | by Trust |
Table II — derivative securities
Explanation of responses
- F1Shares were transferred from direct ownership to ownership under the Moy Family Trust upon vesting of previously awarded restricted stock units.
- F2Included in this number are 61,334 unvested restricted stock units, 33,000 of which were granted on March 8, 2016 and shall vest through March 8, 2019, 20,000 of which were granted on March 8, 2015 and shall vest through March 8, 2018 and 8,334 of which were granted on March 8, 2014 and shall vest through March 08, 2017.
- F3Shares are held by the Moy Family Trust U/A/D 12/09/2013, with respect to which the reporting person is a trustee.
- F4These shares were sold to cover the Company's tax withholding obligation that accrued in connection with the vesting of restricted stock units previously granted.
Remarks
CONFIRMING STATEMENT: This Statement confirms that the undersigned Jeffrey Moy, has authorized and designated Steve Pacelli, Jess Roper, Kevin Sun, Patrick Murphy and Timothy O'Brien to execute and file on the undersigned's behalf all Forms 3, 4, and 5 (including any amendments thereto) that the undersigned may be required to file with the U.S. Securities and Exchange Commission as a result of the undersigned's ownership of or transactions in securities of DexCom, Inc. The authority of Steve Pacelli, Jess Roper, Kevin Sun, Patrick Murphy and Timothy O'Brien under this Statement shall continue until the undersigned is no longer required to file Forms 3, 4, and 5 with regard to the undersigned's ownership of or transactions in securities of DexCom, Inc., unless earlier revoked in writing. The undersigned acknowledges that Steve Pacelli, Jess Roper, Kevin Sun, Patrick Murphy and Timothy O'Brien are not assuming any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934. Date: August 06, 2016 /s/ JEFFREY MOY Jeffrey Moy