SEC Form 4 · accession 0001127602-16-042000
VARIAN MEDICAL SYSTEMS INC · VAR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Sunny Sanyal
Officer — SVP and President, ICB
Period of report
Feb 12, 2016
Accepted (ET)
Feb 17, 2016 · 6:38 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 16, 2016 | M | 1,932 | $0.00 | A | 3,836 | D | |
| Common StockF1 | Feb 16, 2016 | M | 1,559 | $0.00 | A | 5,395 | D | |
| Common StockF2,F3 | Feb 16, 2016 | F | 1,197 | $78.03 | D | 4,198 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non Qualified Stock Option (Right to Buy)F4 | $75.86 | Feb 12, 2016 | A | 26,628 | A | — | Feb 12, 2023 | Common Stock | 26,628 | 26,628 | D |
| Restricted Stock UnitsF1,F5 | — | Feb 12, 2016 | A | 2,742 | A | — | — | Common Stock | 2,742 | 11,283 | D |
| Restricted Stock UnitsF1,F6 | — | Feb 16, 2016 | M | 1,932 | D | — | — | Common Stock | 1,932 | 9,351 | D |
| Restricted Stock UnitsF1,F7 | — | Feb 16, 2016 | M | 1,559 | D | — | — | Common Stock | 1,559 | 7,792 | 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.
- F3Amount of Securities Beneficially Owned at End of Reporting Period reflect 304 shares purchased on May 1, 2015 under the Varian Medical Systems, Inc. Employee Stock Purchase Plan.
- 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 2/12/2017, 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, 2017, February 15, 2018, and February 15, 2019. Vested shares will be delivered to the reporting person on vest date.
- F6The 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.
- F7The 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.