SEC Form 4 · accession 0001127602-16-068225
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 21, 2016
Accepted (ET)
Nov 22, 2016 · 6:48 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 21, 2016 | M | 1,347 | $0.00 | A | 6,050 | D | |
| Common StockF2 | Nov 21, 2016 | F | 474 | $89.66 | D | 5,576 | 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 | — | Nov 21, 2016 | M | 1,347 | D | — | — | Common Stock | 1,347 | 4,587 | 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 November 21, 2014, November 21, 2015, and November 21, 2016. Vested shares will be delivered to the reporting person on vest date.