SEC Form 4 · accession 0001127602-15-006881
VARIAN MEDICAL SYSTEMS INC · VAR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kolleen T Kennedy
Officer — EVP and Pres. Oncology Sys.
Period of report
Feb 13, 2015
Accepted (ET)
Feb 18, 2015 · 6:56 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000203527
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Feb 17, 2015 | M | 2,190 | $0.00 | A | 14,895 | D | |
| Common StockF2 | Feb 17, 2015 | F | 816 | $92.86 | D | 14,079 | 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,F3 | — | Feb 13, 2015 | A | 5,936 | A | — | — | Common Stock | 5,936 | 15,090 | D |
| Non Qualified Stock Option (Right to Buy)F4 | $92.65 | Feb 13, 2015 | A | 29,682 | A | — | Feb 13, 2022 | Common Stock | 29,682 | 29,682 | D |
| Restricted Stock UnitsF1,F5 | — | Feb 17, 2015 | M | 2,190 | D | — | — | Common Stock | 2,190 | 12,900 | D |
Explanation of responses
- F1Each restricted stock unit represents a contingent right to receive one share of VAR common stock.
- F2Represents shares withheld from vested restricted stock units for the payment of federal, state and payroll taxes due on vesting.
- F3The restricted stock units vest in three equal installments on February 15, 2016, February 15, 2017, and February 15, 2018. Vested shares will be delivered to the reporting person on vest date.
- F4Stock option granted under the Varian Medical Systems, Inc. Third Amended and Restated 2005 Omnibus Stock Plan, which complies with Rule 16b-3. The option vests as follows: one third on 2/13/2016, and the remaining shares in 24 equal installments over the 24 months following the first vesting date.
- F5The restricted stock units vest in three equal installments on February 15, 2015, February 15, 2016, and February 15, 2017. Vested shares will be delivered to the reporting person on vest date.