SEC Form 4 · accession 0001639691-17-000098
LivaNova PLC · LIVN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Damien McDonald
Officer — CEO
Period of report
Nov 4, 2017
Accepted (ET)
Nov 9, 2017 · 3:42 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 |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Nov 4, 2017 | A | 16,745 | $81.76 | A | 16,745 | D | |
| Common StockF1 | Nov 4, 2017 | F | 5,609 | $81.76 | D | 11,136 | 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 UnitsF2,F3 | — | Nov 4, 2017 | M | 16,745 | D | — | — | Ordinary Shares | 16,745 | 50,234 | D |
Explanation of responses
- F1The 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 4, 2017 vesting of 16,745 restricted stock units (RSUs).
- F2Each 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.
- F3The reporting person was granted RSUs subject to a four-year vesting schedule, vesting 25% on each of the next four anniversaries of November 4, 2016. The RSUs are subject to forfeiture prior to vesting in accordance with the terms of the LivaNova PLC 2015 Incentive Award Plan.