SEC Form 4 · accession 0001209191-17-023500
Integer Holdings Corp · ITGR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joseph W Dziedzic
Officer — Interim President & CEO · Director
Period of report
Mar 27, 2017
Accepted (ET)
Mar 29, 2017 · 4:24 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001114483
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Mar 27, 2017 | D | 825 | $0.00 | D | 10,101 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF2 | $0.00 | Mar 27, 2017 | A | 18,897 | A | Mar 27, 2018 | — | Common | 18,897 | 18,897 | D |
Explanation of responses
- F1Represents the forfeiture of a portion of the restricted stock grant received by Mr. Dziedzic for service as a non-employee director of Integer Holdings Corporation for fiscal 2017 given Mr. Dziedzic's appointment as Interim President & Chief Executive Officer of Integer.
- F2Restricted Stock Units will vest in full on March 27, 2018, subject to earlier pro-rated vesting or forfeiture on the date that Mr. Dziedzic's service as Interim President & Chief Executive Officer ends.