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) 11/30/2016 | 3. Issuer Name and Ticker or Trading Symbol Johnson Controls International plc [ JCI ] | |||||||||||||
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) |
Ordinary Shares | 36,329.84 | D | |
Ordinary Shares | 12,591.38(1) | I | By 401k Plan Trustee |
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 | ||||
Employee Stock Option (Right to Buy) | 10/01/2009 | 10/01/2017 | Ordinary Shares | 4,232 | 37.05 | D | |
Employee Stock Option (Right to Buy) | 10/01/2010 | 10/01/2018 | Ordinary Shares | 9,767 | 26.53 | D | |
Employee Stock Option (Right to Buy) | 10/01/2011 | 10/01/2019 | Ordinary Shares | 14,176 | 22.92 | D | |
Employee Stock Option (Right to Buy) | 10/01/2012 | 10/01/2020 | Ordinary Shares | 11,341 | 28.14 | D | |
Employee Stock Option (Right to Buy) | 10/07/2013 | 10/07/2021 | Ordinary Shares | 10,853 | 26.3 | D | |
Employee Stock Option (Right to Buy) | 10/05/2014 | 10/05/2022 | Ordinary Shares | 14,000 | 25.67 | D | |
Employee Stock Option (Right to Buy) | 11/18/2016 | 11/18/2024 | Ordinary Shares | 5,587 | 46.29 | D | |
Employee Stock Option (Right to Buy) | 10/07/2017(2) | 10/07/2025 | Ordinary Shares | 8,252 | 40.42 | D | |
Employee Stock Option (Right to Buy) | 10/07/2018(2) | 10/07/2026 | Ordinary Shares | 19,918 | 41.73 | D | |
Phantom Stock Units - Restricted Stock Plan | (3) | (3) | Ordinary Shares | 4,864.91 | (4) | D |
Explanation of Responses: |
1. The number of underlying securities is based on the stock fund balance. The actual number of shares issuable upon the distribution date is not determinable since the fund is a unitized account consisting of 96% company shares and 4% money market fund. |
2. Subject to certain acceleration and forfeiture provisions, fifty percent of the options become exercisable on the second anniversary of the grant date and the remaining fifty percent become exercisable on the third anniversary. |
3. Phantom stock units accrue under the Johnson Controls Restricted Stock Plan and settle 100% in cash . |
4. Each unit of phantom stock is the economic equivalent of one ordinary share of JCI plc. |
/s/ Kevin J. Coen, attorney-in-fact | 12/06/2016 | |
** 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. |