SEC Form 4 · accession 0001140361-16-087515
LivaNova PLC · LIVN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Andre Michel Ballester
Officer — CEO
Period of report
Nov 18, 2016
Accepted (ET)
Nov 22, 2016 · 12:02 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001639691
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Ordinary SharesF1 | Nov 18, 2016 | M | 17,835 | — | A | 98,794 | D | |
| Ordinary SharesF3 | Nov 18, 2016 | F | 8,382 | $43.07 | D | 90,412 | 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 UnitsF1,F2 | — | Nov 18, 2016 | M | 17,835 | D | — | — | Ordinary Shares | 17,835 | 71,339 | D |
Explanation of responses
- F1Each restricted stock unit ("RSU") represents a contingent right to receive one share of LivaNova PLC's ("Company") 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 RSUs vest 20% on, each November 18, 2016, November 18, 2017, and November 18, 2018, and 40% on November 18, 2019. The RSUs are subject to forfeiture prior to vesting in accordance with the terms of the LivaNova PLC 2015 Incentive Award Plan.
- F3The referenced shares were withheld from distribution at the request of reporting person. Such shares were forfeited and the associated value was used to offset the tax liability associated with the November 18, 2016 vesting of 17,835 RSUs.