SEC Form 4 · accession 0000937556-19-000010
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
Jan 2, 2019
Accepted (ET)
Jan 4, 2019 · 4:31 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 2, 2019 | M | 20,000 | $0.00 | A | 149,241 | D | |
| Common StockF1,F2 | Jan 2, 2019 | S | 5 | $93.42 | D | 10,368 | I | See Footnote |
| Common StockF3 | holding | — | — | — | 229,290 | I | By Trust | |
| Common StockF3 | holding | — | — | — | 550,000 | I | By Trust | |
| Common StockF3 | holding | — | — | — | 352,919 | I | By Trust | |
| Common StockF3 | holding | — | — | — | 359,000 | I | By Trust | |
| Common StockF4 | holding | — | — | — | 2,250,291 | I | By Trust | |
| Common StockF5 | 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 UnitsF6,F7 | — | Jan 2, 2019 | M | 20,000 | D | — | — | Common Stock | 20,000 | 60,000 | D |
Explanation of responses
- F1During fiscal year 2018, the administrator of the Masimo Retirement Savings Plan liquidated on a quarterly basis a nominal amount of Masimo Corporation shares as payment of quarterly administration fees. The liquidation of shares is reflected in this Form 4 filing. The average sales price reflected in box 4 above is an average of the quarterly sales of these shares. The information reported in this filing is based on a plan statement dated December 29, 2018.
- F2Shares held in Masimo Retirement Savings Plan.
- F3Shares held in four trusts for which Mr. Kiani is not the Trustee.
- F4Shares held in one trust for which Mr. Kiani is the sole trustee.
- F5Shares held by an immediate family member for which Mr. Kiani exercises voting and investment control.
- F6Each restricted stock unit (RSU) represents the contingent right to receive one share of common stock of the Issuer upon vesting of the RSU.
- F7On February 27, 2018, the Reporting Person was granted 100,000 restricted stock units, 20% of which vested upon grant and 20% of which will vest on the first business day of each fiscal year thereafter.