SEC Form 4 · accession 0001127602-17-006137
VARIAN MEDICAL SYSTEMS INC · VAR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Magnus Momsen
Officer — SVP, CAO, Corporate Controller
Period of report
Feb 10, 2017
Accepted (ET)
Feb 14, 2017 · 6:23 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000203527
Table I — non-derivative securities
No Table I lines on this filing.
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)F1 | $80.40 | Feb 10, 2017 | A | 8,266 | A | — | Feb 10, 2024 | Common Stock | 8,266 | 8,266 | D |
| Restricted Stock UnitsF2,F3 | — | Feb 10, 2017 | A | 3,317 | A | — | — | Common Stock | 3,317 | 7,327 | D |
Explanation of responses
- F1Stock option granted under the Varian Medical Systems, Inc. Fourth Amended and Restated 2005 Omnibus Stock Plan which complies with Rule 16b-3. The option vests as follows: one third on 2/10/2018, and the remaining shares in 24 equal installments over the 24 months following the first vesting date.
- F2Each restricted stock unit represents a contingent right to receive one share of VAR common stock.
- F3The restricted stock units vest in three equal installments on February 15, 2018, February 15, 2019, and February 15, 2020. Vested shares will be delivered to the reporting person on vest date.