SEC Form 4 · accession 0000937556-18-000143
MASIMO CORP · MASI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David J Van Ramshorst
Officer — Chief Accounting Officer
Period of report
Sep 24, 2018
Accepted (ET)
Sep 24, 2018 · 7:40 pm EDT
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 | Sep 24, 2018 | M | 1,325 | $29.33 | A | 2,325 | D | |
| Common Stock | Sep 24, 2018 | S | 1,325 | $122.56 | D | 1,000 | D | |
| Common Stock | Sep 24, 2018 | M | 1,000 | $85.54 | A | 2,000 | D | |
| Common StockF2 | Sep 24, 2018 | S | 1,000 | $123.1696 | D | 1,000 | D | |
| Common Stock | Sep 24, 2018 | M | 350 | $29.33 | A | 1,350 | D | |
| Common StockF2 | Sep 24, 2018 | S | 350 | $123.1696 | D | 1,000 | 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)F3 | $29.33 | Sep 24, 2018 | M | 1,325 | D | Dec 30, 2014 | Dec 30, 2023 | Common Stock | 1,325 | 16,675 | D |
| Non-Qualified Stock Option (Right to Buy)F4 | $85.54 | Sep 24, 2018 | M | 1,000 | D | Aug 14, 2018 | Aug 14, 2027 | Common Stock | 1,000 | 4,000 | D |
| Non-Qualified Stock Option (Right to Buy)F3 | $29.33 | Sep 24, 2018 | M | 350 | D | Dec 30, 2014 | Dec 30, 2023 | Common Stock | 350 | 16,325 | D |
Explanation of responses
- F1The shares covered by this Form 4 were exercised and sold pursuant to a Rule 10b5-1 Sales Plan dated as of September 5, 2018, which is intended to comply with Rule 10b5-1 promulgated under the Securities Exchange Act of 1934, as amended.
- F2The price reported in Column 4 represents the weighted average sales price per share. The actual sales prices ranged from a low of $122.58 per share to a high of $123.86 per share. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer, or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- F3This option was granted on December 30, 2013 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.
- F4This option was granted on August 14, 2017 and is exercisable as the option vests. The option vests over a five year period, with 20% of the shares subject to the option vesting on each anniversary of the grant date.