SEC Form 4 · accession 0001127602-16-067962
VARIAN MEDICAL SYSTEMS INC · VAR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Clarence R Verhoef
Officer — SVP, Finance, Corp Controller
Period of report
Nov 18, 2016
Accepted (ET)
Nov 21, 2016 · 7:28 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 | Nov 18, 2016 | A | 686 | $0.00 | A | 4,960 | D | |
| Common StockF2,F3 | Nov 18, 2016 | F | 257 | $88.25 | D | 4,703 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents shares issued upon settlement of performance-based unit award (PSUs) granted November 20, 2013.
- F2Represents shares withheld from vested PSUs for the payment of federal, state and payroll taxes due on settlement.
- F3Amount of securities beneficially owned at end of reporting period reflect 141 shares purchased on October 28, 2016 under the Varian Medical Systems, Inc. Employee Stock Purchase Plan.