SEC Form 4 · accession 0001127602-17-006741
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 15, 2017
Accepted (ET)
Feb 16, 2017 · 8:52 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 15, 2017 | M | 631 | — | A | 5,747 | D | |
| Common StockF1 | Feb 15, 2017 | M | 597 | — | A | 6,344 | D | |
| Common StockF1 | Feb 15, 2017 | M | 728 | — | A | 7,072 | D | |
| Common StockF2 | Feb 15, 2017 | F | 783 | $81.12 | D | 6,289 | 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 15, 2017 | M | 631 | D | — | — | Common Stock | 631 | 6,696 | D |
| Restricted Stock UnitsF1,F4 | — | Feb 15, 2017 | M | 597 | D | — | — | Common Stock | 597 | 6,099 | D |
| Restricted Stock UnitsF1,F5 | — | Feb 15, 2017 | M | 728 | D | — | — | Common Stock | 728 | 5,371 | 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, 2015, February 15, 2016, and February 15, 2017. Vested shares will be delivered to the reporting person on vest date.
- F4The 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.
- 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.