SEC Form 4 · accession 0001140361-16-075504
LivaNova PLC · LIVN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Douglas John Manko
Officer — Chief Accounting Officer
Period of report
Aug 5, 2016
Accepted (ET)
Aug 9, 2016 · 5:19 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.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1,F3 | — | Aug 5, 2016 | A | 2,418 | A | — | — | Common Stock | 2,418 | 2,418 | D |
| Stock Appreciation RightsF2 | $61.00 | Aug 5, 2016 | A | 9,633 | A | — | — | Common Stock | 9,633 | 9,633 | D |
Explanation of responses
- F1Each restricted stock unit ("RSU") represents a contingent right to receive one ordinary share ("Ordinary Share") of LivaNova PLC (the "Company") 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 RSUs subject to a four-year vesting schedule, vesting 25% on each of the next four anniversaries of August 5, 2016. The RSUs are subject to forfeiture prior to vesting in accordance with the terms of the RSU Agreement.
- 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 and the SAR Agreement, the SARs shall vest in equal installments of 25% on each of the four anniversaries of the grant date, August 5, 2016. Payment of such amount shall be 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.