SEC Form 4 · accession 0001225208-16-039043
BARD C R INC /NJ/ · BCR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Samrat S. Khichi
Officer — Sr. VP, Gen Counsel & Secy.
Period of report
Sep 6, 2016
Accepted (ET)
Sep 8, 2016 · 9:43 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000009892
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Aug 2, 2016 | G | 23 | $0.00 | D | 12,912 | D | |
| Common Stock | Aug 3, 2016 | G | 18 | $0.00 | D | 12,894 | D | |
| Common Stock | Aug 24, 2016 | G | 54 | $0.00 | D | 12,840 | D | |
| Common Stock | Sep 6, 2016 | M | 9,183 | $145.83 | A | 22,023 | D | |
| Common StockF3 | Sep 6, 2016 | S | 2,161 | $221.581 | D | 19,862 | D | |
| Common StockF4 | Sep 6, 2016 | S | 7,022 | $220.8322 | D | 12,840 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option (Right to Buy)F5,F6 | $145.83 | Sep 6, 2016 | M | 9,183 | D | — | Jul 16, 2024 | Common Stock | 9,183 | 9,184 | D |
Explanation of responses
- F1Includes 127.382 shares acquired under the Company's Employee Stock Purchase Plan from February 6, 2016 to August 1, 2016.
- F2Option exercise and sales are pursuant to a previously disclosed 10b5-1 plan.
- F3Represents the weighted average sales price for price increments ranging from $221.4028 to $221.9011. The Reporting Person undertakes to provide, upon request by the Securities and Exchange Commission staff, the Issuer or a security holder of the Issuer, full information regarding the number of shares sold at each separate price for all transactions reported on this Form 4.
- F4Represents the weighted average sales price for price increments ranging from $220.3200 to $221.2271. The Reporting Person undertakes to provide, upon request by the Securities and Exchange Commission staff, the Issuer or a security holder of the Issuer, full information regarding the number of shares sold at each separate price for all transactions reported on this Form 4.
- F5Options granted under 2012 Long Term Incentive Plan of C. R. Bard, Inc. (as Amended and Restated).
- F6Of this option grant 9,183 options are vested and the remaining options vest in two annual installments beginning on July 16, 2017.