SEC Form 4 · accession 0000937556-17-000016
MASIMO CORP · MASI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Anand Sampath
Officer — Chief Operating Officer
Period of report
Jan 12, 2017
Accepted (ET)
Jan 12, 2017 · 4:54 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 | Jan 12, 2017 | M | 10,000 | $14.22 | A | 10,000 | 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)F1 | $14.22 | Jan 12, 2017 | M | 10,000 | D | Apr 13, 2008 | Apr 13, 2017 | Common Stock | 10,000 | 0 | D |
Explanation of responses
- F1This option was granted on April 13, 2007 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.