SEC Form 4 · accession 0001209191-15-086864
HeartWare International, Inc. · HTWR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey LaRose
Officer — Chief Scientific Officer
Period of report
Dec 21, 2015
Accepted (ET)
Dec 23, 2015 · 5:19 pm EST
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 StockF1 | Dec 21, 2015 | M | 4,375 | $0.00 | A | 11,272 | D | |
| Common StockF2,F3 | Dec 22, 2015 | S | 1,121 | $46.29 | D | 10,151 | D | |
| Common StockF2 | Dec 22, 2015 | S | 100 | $47.55 | D | 10,051 | D | |
| Common StockF4 | holding | — | — | — | 150 | I | see footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF5 | — | Dec 21, 2015 | M | 4,375 | D | Dec 21, 2015 | Dec 21, 2015 | Common Stock | 4,375 | 9,800 | D |
Explanation of responses
- F1On December 21, 2011, the reporting person was granted restricted stock units to acquire 17,500 shares of HeartWare International common stock. The award vests in four equal annual installments commencing on December 21, 2012. On December 21, 2015, 4,375 shares of common stock were issued to the reporting person.
- F2These shares were sold pursuant to a pre-arranged trading plan in accordance with Rule 10b5-1 of the Securities Exchange Act of 1934. The sale proceeds were utilized to pay all payroll taxes related to the vesting of restricted stock units and receipt of the related shares reported on this Form 4.
- F3The price represents the weighted average sale price for multiple transactions reported on this line. The prices of the transactions ranged from $45.97 to $46.84. The reporting person has provided the issuer and will provide any security holder of the issuer or the SEC Staff, upon request, information regarding the number of shares sold at each price within the range.
- F4These shares are held by an immediate family member of the reporting person who is living in the same home. The reporting person disclaims beneficial ownership of the shares, but is deemed to have an indirect pecuniary interest in the shares.
- F5Each restricted stock unit represents a contingent right to receive one share of the Company's common stock.