SEC Form 4 · accession 0001639691-18-000019

LivaNova PLC · LIVN

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

Reporting owner

Officer — Chief Accounting Officer

Period of report

Mar 1, 2018

Accepted (ET)

Mar 5, 2018 · 5:15 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 Shares^F1	Mar 1, 2018	M	754	$0.00	A	1,194	D
Ordinary Shares^F2	Mar 1, 2018	F	223	$89.57	D	971	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Restricted Stock Units^F3,F4	—	Mar 1, 2018	M	754	D	—	—	Ordinary Shares	754	4,034	D

F1Reporting person had vested restricted stock units (RSUs) settled in ordinary shares of LivaNova PLC (the Company), GBP 1.00 par value.
F2The 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 March 1, 2018 vesting of 754 RSUs.
F3Each RSU represents a contingent right to receive one ordinary share (Ordinary Share) of LivaNova PLC (the Company), GBP 1.00 par value, in accordance with the terms of the LivaNova PLC 2015 Incentive Award Plan (the Plan).
F4On May 5, 2017, reporting person was granted 2,975 RSUs that vest 25% on the second day after release of LivaNova's full-year 2017 financial results, February 28, 2018, provided and to the extent that adjusted net sales, as reported in LivaNova's press release on the February 28, 2018, is at least 95% of an adjusted net income target (Target Net Income), at which 50% of the RSUs become eligible for vesting. The number included in column 5 of Table II reflects the RSUs eligible for vesting at the Target Net Income. The number of RSUs eligible for vesting is 101.4% of Target Net Income.