SEC Form 4
FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol VARIAN MEDICAL SYSTEMS INC [ VAR ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 02/15/2018 | ||||||||||||||||||||||||||
4. 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 Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 02/15/2018 | M(1) | 863 | A | $67.12 | 28,224 | D | |||
Common Stock | 02/15/2018 | S(1) | 600 | D | $120.3033(2) | 27,624 | D | |||
Common Stock | 02/15/2018 | S(1) | 263 | D | $121.1244(3) | 27,361 | D | |||
Common Stock | 02/15/2018 | M(1) | 5,579 | A | $80.4 | 32,940 | D | |||
Common Stock | 02/15/2018 | S(1) | 3,000 | D | $120.2677(4) | 29,940 | D | |||
Common Stock | 02/15/2018 | S(1) | 2,579 | D | $121.1719(5) | 27,361 | D | |||
Common Stock | 02/15/2018 | M | 1,762 | A | (6) | 29,123 | D | |||
Common Stock | 02/15/2018 | M | 1,066 | A | (6) | 30,189 | D | |||
Common Stock | 02/15/2018 | M | 1,119 | A | (6) | 31,308 | D | |||
Common Stock | 02/15/2018 | F | 1,463(7) | D | $121.87 | 29,845 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Non Qualified Stock Option (Right to Buy) | $67.12 | 02/15/2018 | M(1) | 863 | (8) | 02/12/2023 | Common Stock | 863 | $0 | 10,354 | D | ||||
Non Qualified Stock Option (Right to Buy) | $80.4 | 02/15/2018 | M(1) | 5,579 | (9) | 02/10/2024 | Common Stock | 5,579 | $0 | 11,160 | D | ||||
Restricted Stock Units | (6) | 02/15/2018 | M | 1,762 | (10) | (10) | Common Stock | 1,762 | (6) | 7,884 | D | ||||
Restricted Stock Units | (6) | 02/15/2018 | M | 1,066 | (11) | (11) | Common Stock | 1,066 | (6) | 6,818 | D | ||||
Restricted Stock Units | (6) | 02/15/2018 | M | 1,119 | (12) | (12) | Common Stock | 1,119 | (6) | 5,699 | D |
Explanation of Responses: |
1. This transaction is pursuant to the filer's SEC Rule10b5-1 Stock Plan |
2. The 600 shares were sold in multiple transactions executed on the same day at prices ranging from $119.97 to $120.91. The detailed breakdown of executed sales will be furnished upon request. |
3. The 263 shares were sold in multiple transactions executed on the same day at prices ranging from $121.05 to $121.17. The detailed breakdown of executed sales will be furnished upon request. |
4. The 3,000 shares were sold in multiple transactions executed on the same day at prices ranging from $119.77 to $120.73. The detailed breakdown of executed sales will be furnished upon request. |
5. The 2,579 shares were sold in multiple transactions executed on the same day at prices ranging from $120.82 to $121.49. The detailed breakdown of executed sales will be furnished upon request. |
6. Each restricted stock unit represents a contingent right to receive one share of VAR common stock. |
7. Represents shares withheld from vested restricted stock units for the payment of federal, state and payroll taxes due on vesting. |
8. Stock option granted under the Varian Medical Systems, Inc. Third Amended and Restated 2005 Omnibus Stock Plan which complies with Rule 16b-3. The option vests as follows: one third on 2/12/2017, and the remaining shares in 24 equal installments over the 24 months following the first vesting date. |
9. Stock option granted under the Varian Medical Systems, Inc. Fourth Amended and Restated 2005 Omnibus Stock Plan which complies with Rule 16b-3. The option vests as follows: one third on 2/10/2018, and the remaining shares in 24 equal installments over the 24 months following the first vesting date. |
10. The restricted stock units vest in three equal installments on February 15, 2016, February 15, 2017, and February 15, 2018. Vested shares will be delivered to the reporting person on vest date. |
11. The restricted stock units vest in three equal installments on February 15, 2017, February 15, 2018, and February 15, 2019. Vested shares will be delivered to the reporting person on vest date. |
12. The restricted stock units vest in three equal installments on February 15, 2018, February 15, 2019, and February 15, 2020. Vested shares will be delivered to the reporting person on vest date. |
/s/ Franco N. Palomba, Attorney in Fact for John W. Kuo | 02/16/2018 | |
** 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 4 (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. |