SEC Form 4 · accession 0000937556-16-000428
MASIMO CORP · MASI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Paul Jansen
Officer — EVP, Bus Dev
Period of report
Dec 8, 2016
Accepted (ET)
Dec 9, 2016 · 4:40 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000937556
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Dec 8, 2016 | M | 5,000 | $35.25 | A | 5,000 | D | |
| Common Stock | Dec 8, 2016 | S | 5,000 | $63.88 | D | 0 | D | |
| Common Stock | Dec 8, 2016 | M | 5,000 | $25.46 | A | 5,000 | D | |
| Common Stock | Dec 8, 2016 | S | 5,000 | $63.88 | D | 0 | D |
Table II — derivative securities
| 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 | $35.25 | Dec 8, 2016 | M | 5,000 | D | Jan 10, 2009 | Jan 10, 2018 | Common Stock | 5,000 | 0 | D |
| Non-Qualified Stock Option (Right to Buy)F3 | $25.46 | Dec 8, 2016 | M | 5,000 | D | Apr 17, 2009 | Apr 17, 2018 | Common Stock | 5,000 | 30,000 | D |
Explanation of responses
- F1The shares covered by this Form 4 were sold pursuant to a Rule 10b5-1 Sales Plan dated as of June 16, 2016, which is intended to comply with Rule 10b5-1 promulgated under the Securities Exchange Act of 1934, as amended.
- F2This option was granted on January 10, 2008 and is exercisable as the option vests. This option vests over a five-year period, with 20% of the shares subject to the option vesting on each anniversary of the grant date.
- F3This option was granted on April 17, 2008 and is exercisable as the option vests. This option vests over a five-year period, with 20% of the shares subject to the option vesting on each anniversary of the grant date.