SEC Form 4/A · accession 0001127602-17-027791

VARIAN MEDICAL SYSTEMS INC · VAR

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

This is an amendment (Form 4/A). It replaces an earlier filing for the same period.

Reporting owner

Officer — EVP and Pres. Oncology Sys.

Period of report

Sep 13, 2017

Accepted (ET)

Sep 19, 2017 · 8:40 pm EDT

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 Stock^F1	Sep 13, 2017	M	933	$81.97	A	27,533	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)^F2	$81.97	Sep 13, 2017	M	933	D	—	Feb 13, 2022	Common Stock	933	4,660	D

F1The amended Form 4 is being filed to disclose the acquisition price of the Common Stock. The shares were acquired by exercising Non-Qualified Stock Options, and the acquisition price is the exercise price of the Non-Qualified Stock Option. The original Form 4 inadvertently disclosed that the shares were acquired at a price of $0; however, the exercise price of the Non-Qualified Stock Option was properly stated in Table II as $81.97.
F2Stock option granted under the Varian Medical Systems, Inc. Third Amended and Restated 2005 Omnibus Stock Plan, which complies with Rule 16b-3. The option vests as follows: one third on 2/13/2016, and the remaining shares in 24 equal installments over the 24 months following the first vesting date.