SEC Form 4 · accession 0001209191-17-045678
Integer Holdings Corp · ITGR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joseph W Dziedzic
Officer — President & CEO · Director
Period of report
Jul 17, 2017
Accepted (ET)
Jul 19, 2017 · 4:25 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 | Jul 17, 2017 | D | 825 | $0.00 | D | 8,451 | D | |
| Common Stock | Jul 17, 2017 | M | 6,299 | $0.00 | A | 14,750 | D | |
| Common Stock | Jul 17, 2017 | F | 1,723 | $0.00 | D | 13,027 | 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 | Jul 17, 2017 | M | 6,299 | D | Jul 17, 2017 | — | Common | 6,299 | 12,598 | D |
| Restricted Stock UnitF2 | $0.00 | Jul 17, 2017 | J | 12,598 | D | Jul 17, 2017 | — | Common | 12,598 | 0 | D |
| Restricted Stock UnitsF3 | $0.00 | Jul 17, 2017 | A | 22,883 | A | Dec 29, 2017 | — | Common | 22,883 | 22,883 | D |
| Restricted Stock UnitsF3 | $0.00 | Jul 17, 2017 | A | 11,638 | A | Dec 29, 2017 | — | Common | 11,638 | 11,638 | D |
| Non-Qualified Stock OptionsF4 | $43.70 | Jul 17, 2017 | A | 67,613 | A | Dec 29, 2017 | Jul 17, 2027 | Common | 67,613 | 67,613 | 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 President & Chief Executive Officer of Integer.
- F2Pursuant to the restricted stock award letter dated March 27, 2017, Mr. Dziedzic received a pro-rated vesting based on the term of his service as Interim President and Chief Executive Officer. As a result of his appointment as Chief Executive Officer on July 17, 2017, Mr. Dziedzic received and immediately vested in 6,299 restricted stock units and forfeited the remaining 12,598 of restricted stock units.
- F3Grant of restricted stock units that vest in three equal annual installments on the last day of each fiscal year beginning in fiscal year 2017.
- F4Grant of non-qualified stock options that vest in three equal annual installments on the last day of each fiscal year beginning in fiscal year 2017.