SEC Form 4 · accession 0001209191-15-042366
HeartWare International, Inc. · HTWR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Seth Loring Harrison
Director
Period of report
May 12, 2015
Accepted (ET)
May 13, 2015 · 5:07 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001389072
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | May 12, 2015 | M | 250 | $0.00 | A | 134,893 | D | |
| Common StockF1 | holding | — | — | — | 16,186 | I | see note | |
| Common StockF2 | holding | — | — | — | 3,500 | I | see note |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF3 | — | May 12, 2015 | M | 250 | D | May 12, 2015 | May 12, 2015 | Common Stock | 250 | 750 | D |
Explanation of responses
- F1Represents shares held by Dr. Harrison's spouse, Ms. Arianne Harrison.
- F2Represents shares held by Tortoise Foundation, a charitable foundation managed by the reporting person.
- F3Each restricted stock unit represents a contingent right to receive one share of the Company's common stock.