SEC Form 4 · accession 0001127602-17-008255

VARIAN MEDICAL SYSTEMS INC · VAR

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Feb 22, 2017

Accepted (ET)

Feb 24, 2017 · 5:10 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
Common Stock^F1	Feb 22, 2017	M	5,651	$62.74	A	9,240	D
Common Stock^F1	Feb 22, 2017	M	5,651	$57.27	A	14,891	D
Common Stock^F2	Feb 22, 2017	S	11,302	$83.5611	D	3,589	D

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,F3	$62.74	Feb 22, 2017	M	5,651	D	Feb 16, 2011	Feb 16, 2018	Common Stock	5,651	0	D
Non Qualified Stock Option (Right to Buy)^F1,F4	$57.27	Feb 22, 2017	M	5,651	D	Feb 10, 2012	Feb 10, 2019	Common Stock	5,651	0	D

F1The stock options were adjusted pursuant to the Employee Matters Agreement between Varian Medical Systems, Inc. ("Varian") and Varex Imaging Corporation ("Varex") relating to the January 28, 2017 distribution by Varian to its stockholders of all of the outstanding shares of the common stock of Varex. Stock options that were outstanding at the time of the distribution were adjusted by multiplying the number of shares subject thereto by 1.1303 and rounding down to the nearest whole share, and dividing the per share exercise price by 1.1303 and rounding up to the nearest cent.
F2The 11,302 shares were sold in multiple transactions executed on the same day at prices ranging from $83.55 to $83.565. The detailed breakdown of executed sales will be furnished upon request.
F3Stock option granted under the Varian Medical Systems, Inc. Second Amended and Restated 2005 Omnibus Stock Plan, which complies with Rule 16b-3.
F4Stock option granted under the Varian Medical Systems, Inc. Third Amended and Restated 2005 Omnibus Stock Plan, which complies with Rule 16b-3.