SEC Form 4 · accession 0000899243-17-003128
REVVITY, INC. · RVTY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joel S Goldberg
Officer — Please See Remarks
Period of report
Feb 6, 2017
Accepted (ET)
Feb 8, 2017 · 5:08 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000031791
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Feb 6, 2017 | F | 2,096 | $52.17 | D | 56,108 | D | |
| Common StockF2 | Feb 7, 2017 | A | 4,950 | $0.00 | A | 61,058 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NQ Stock Option (right to buy)F3 | $52.69 | Feb 7, 2017 | A | 22,613 | A | — | Feb 7, 2024 | Common Stock | 22,613 | 22,613 | D |
Explanation of responses
- F1These shares are being surrendered to satisfy a tax withholding obligation upon vesting of restricted stock originally granted on February 4, 2014, as required by the Reporting Person's Restricted Stock Agreement.
- F2Shares are time-based restricted stock that are scheduled to fully vest on the third anniversary of the date of grant.
- F3This option is scheduled to vest in three equal annual installments beginning on the first anniversary of the date of grant.
Remarks
Senior Vice President, Administration, General Counsel and Secretary