SEC Form 3
FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 07/21/2016 | 3. Issuer Name and Ticker or Trading Symbol INTERSIL CORP/DE [ ISIL ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 38,589.76 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Option (Right to Buy) | 12/03/2013(1) | 12/03/2019 | Common Stock | 12,000 | 7.09 | D | |
Deferred Stock Units Award (DSUs) | (2) | (6) | Common Stock | 5,000(7) | 0 | D | |
Deferred Stock Units Award (DSUs) | (3) | (6) | Common Stock | 7,616(7) | 0 | D | |
Deferred Stock Units Award (DSUs) | (4) | (6) | Common Stock | 11,499(7) | 0 | D | |
Deferred Stock Units Award (DSUs) | (5) | (6) | Common Stock | 20,880(7) | 0 | D | |
Deferred Stock Units Award (DSUs) | (5) | (6) | Common Stock | 26,153(7) | 0 | D |
Explanation of Responses: |
1. Option vests 25% per year on the anniversary date of the grant. As of the date of this filing, 3,000 options are unvested; they will vest on December 3, 2016. |
2. The DSUs associated with this award will vest on December 3, 2016. |
3. The DSUs associated with this award will vest in equal installments of 3,808 shares on April 1, 2017 and April 1, 2018. |
4. The DSUs associated with this award will vest in equal installments of 3,833 shares on April 1, 2017, April 1, 2018 and April 1, 2019. |
5. The DSUs associated with this award vest at a rate of 25% annually on each anniversary of the date of the award. |
6. Not Applicable. |
7. Reflects the receipt of Common Stock upon the vesting of DSUs. Each DSU has the economic equivalent of one share of Intersil Common Stock. |
Debbie Ceraolo-Johnson by Power of Attorney | 08/01/2016 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |