SEC Form 4 · accession 0001140361-16-058227

LivaNova PLC · LIVN

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — CEO · Director

Period of report

Mar 11, 2016

Accepted (ET)

Mar 17, 2016 · 3:57 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001639691

Table I — non-derivative securities

No Table I lines on this filing.

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Restricted Stock Units^F1,F2	—	Mar 11, 2016	A	17,361	A	—	—	Common Stock	17,361	17,361	D
Stock Appreciation Rights^F3	$57.60	Mar 11, 2016	A	56,682	A	—	—	Common Stock	56,682	56,682	D

F1Each restricted stock unit represents a contingent right to receive one share of the Company's Ordinary Shares, or at the option of the Company, a cash settlement in accordance with the terms of the LivaNova PLC 2015 Incentive Award Plan.
F2The reporting person was granted restricted stock units that vest in full on the date, if any, that the 50-day trailing average closing price of the Company's Ordinary Shares is at least $138.78 at any time during the period May 1, 2019 to April 30, 2020. The restricted stock units are subject to forfeiture prior to vesting in accordance with the terms of the LivaNova PLC 2015 Incentive Award Plan.
F3Reporting person was granted an award of stock appreciation rights ("SARs"). Subject to the terms and conditions of the LivaNova PLC 2015 Incentive Award Plan, the SARs will vest in equal installments of 25% on each of the four anniversaries of the grant date, March 11, 2016. Payment of such amount shall be in cash, Ordinary Shares (based on their fair market value as of the date the SAR is exercised) or a combination of both, as determined by the LivaNova PLC 2015 Incentive Award Plan Administrator.