SEC Form 4 · accession 0000937556-18-000021
MASIMO CORP · MASI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joe E Kiani
Officer — CEO and Chairman of the Board · Director
Period of report
Feb 27, 2018
Accepted (ET)
Mar 1, 2018 · 9:00 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 | Feb 27, 2018 | M | 20,000 | $0.00 | A | 139,241 | D | |
| Common StockF1 | holding | — | — | — | 229,290 | I | By Trust | |
| Common StockF1 | holding | — | — | — | 550,000 | I | By Trust | |
| Common StockF1 | holding | — | — | — | 352,919 | I | By Trust | |
| Common StockF1 | holding | — | — | — | 359,000 | I | By Trust | |
| Common StockF2 | holding | — | — | — | 2,250,291 | I | By Trust | |
| Common StockF3 | holding | — | — | — | 10,373 | I | See Footnote | |
| Common StockF4 | holding | — | — | — | 9,000 | I | See Footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF5,F6 | — | Feb 27, 2018 | A | 100,000 | A | — | — | Common Stock | 100,000 | 100,000 | D |
| Restricted Stock UnitsF5,F6 | — | Feb 27, 2018 | M | 20,000 | D | — | — | Common Stock | 20,000 | 80,000 | D |
Explanation of responses
- F1Shares held in four trusts for which Mr. Kiani is the sole Trustee.
- F2Shares held in one trust for which Mr. Kiani is the sole trustee.
- F3Shares held in Masimo Retirement Savings Plan.
- F4Shares held by an immediate family member for which Mr. Kiani exercises voting and investment control.
- F5Each restricted stock unit (RSU) represents the contingent right to receive one share of common stock of the Issuer upon vesting of the RSU.
- F6On February 27, 2018, the Reporting Person was granted 100,000 restricted stock units, 20% of which were vested upon grant and 20% of which will vest on the first business day of each fiscal year thereafter.