SEC Form 4 · accession 0000098246-17-000016
TIFFANY & CO · TIF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jean-Marc Bellaiche
Officer — SENIOR VICE PRESIDENT
Period of report
Jan 19, 2017
Accepted (ET)
Jan 23, 2017 · 3:17 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000098246
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock $.01 Par | holding | — | — | — | 2,179 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy)F2 | $79.23 | Jan 19, 2017 | A | 19,876 | A | — | Jan 19, 2027 | Common Stock | 19,876 | 19,876 | D |
| Performance-based Restricted Stock UnitsF3,F4 | $0.00 | Jan 19, 2017 | A | 14,578 | A | — | — | Common Stock | 14,578 | 14,578 | D |
| Restricted Stock UnitsF5 | $0.00 | Jan 19, 2017 | A | 3,648 | A | — | — | Common Stock | 3,648 | 3,648 | D |
Explanation of responses
- F1Granted pursuant to the Tiffany & Co. 2014 Employee Incentive Plan, which complies with Rule 16b-3.
- F2The option vests in four equal annual installments on January 19, 2018, 2019, 2020 and 2021.
- F3The performance-based restricted stock units convert to the issuer's common stock on a one-for-one basis.
- F4All or a percentage of the units will be converted to common stock if issuer satisfies financial performance criteria for the three-year performance period ending January 31, 2020. Performance-based restricted stock units not eligible for conversion at the end of such performance period will be canceled.
- F5The restricted stock units convert to the issuer's common stock on a one-for-one basis and will vest in four equal annual installments on January 19, 2018, 2019, 2020 and 2021.