SEC Form 4 · accession 0001209191-17-059023
PATTERSON COMPANIES, INC. · PDCO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David G Misiak
Officer — President, Patterson Dental
Period of report
Nov 1, 2017
Accepted (ET)
Nov 3, 2017 · 8:19 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000891024
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF2,F3,F4 | Nov 1, 2017 | F | 58 | $36.12 | D | 12,452 | D | |
| Common StockF5 | holding | — | — | — | 14,826 | I | By ESOP |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock OptionF6 | $47.51 | holding | — | — | — | Jul 1, 2020 | Jul 1, 2027 | Common Stock | 13,935 | 13,935 | D |
| Employee Stock OptionF7,F8 | $56.66 | holding | — | — | — | — | Jul 1, 2025 | Common Stock | 50,000 | 50,000 | D |
Explanation of responses
- F1Represents shares of common stock withheld for payment of taxes incurred upon the lapse of restrictions on restricted stock units issued pursuant to the Patterson Companies, Inc. 2015 Omnibus Incentive Plan.
- F2Includes 1,426 shares acquired pursuant to Reporting Person's participation in the Patterson Companies, Inc. Capital Accumulative Plan in the years 2015 and 2016 and remain subject to the terms of such Plan.
- F3Includes 3,463 shares of restricted stock awarded in the years 2013 through 2015 to Reporting Person, which vest, contingent upon continued employment as follows: 660 shares vest on 4/29/2018, 1,148 shares vest on 7/1/2018, 1,147 shares on 7/1/2019 and 508 shares vest on 7/1/2020.
- F4Includes 5,378 Restricted Stock Units ("RSUs") awarded on 7/1/2016, 11/1/2016 and 7/1/2017 to Reporting Person pursuant to the Patterson Companies, Inc. 2015 Omnibus Incentive Plan. Each RSU represents a right, contingent upon continued employment, to receive one share of common stock. The RSUs vest in 5 equal annual installments commencing on the one year anniversary of the date of grant and each anniversary thereafter.
- F5Represents shares of common stock indirectly held by the Reporting Person's Employee Stock Ownership Plan (ESOP) account through July 10, 2017.
- F6Stock option granted pursuant to the Patterson Companies, Inc. 2015 Omnibus Incentive Plan on 7/1/2017.
- F7Stock option granted pursuant to the Patterson Companies, Inc. 2012 Equity Incentive Plan on 7/1/2015.
- F8Options are exercisable as follows: 25% on 7/1/2018, 25% on 7/1/2019 and 50% on 7/1/2020.