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) 03/16/2018 | 3. Issuer Name and Ticker or Trading Symbol MASIMO CORP [ MASI ] | |||||||||||||
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) |
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 | ||||
Non-Qualified Stock Option (Right to Buy) | 04/02/2013(1) | 04/02/2022 | Common Stock | 10,000 | 23.89 | D | |
Non-Qualified Stock Option (Right to Buy) | 03/15/2014(2) | 03/15/2023 | Common Stock | 10,000 | 19.9 | D | |
Non-Qualified Stock Option (Right to Buy) | 08/20/2015(3) | 08/20/2024 | Common Stock | 25,000 | 21.69 | D | |
Non-Qualified Stock Option (Right to Buy) | 05/13/2016(4) | 05/13/2025 | Common Stock | 50,000 | 34.51 | D | |
Non-Qualified Stock Option (Right to Buy) | 03/01/2017(5) | 02/28/2026 | Common Stock | 30,000 | 37.84 | D | |
Non-Qualified Stock Option (Right to Buy) | 08/14/2018(6) | 08/14/2027 | Common Stock | 30,000 | 85.54 | D |
Explanation of Responses: |
1. This option was granted on April 2, 2012 and is exercisable as the option vests. The option vests over a 5 year period, with 20% of the shares subject to the option vesting on each anniversary of the grant date. |
2. This option was granted on March 15, 2013 and is exercisable as the option vests. The option vests over a 5 year period, with 20% of the shares subject to the option vesting on each anniversary of the grant date. |
3. This option was granted on August 20, 2014 and is exercisable as the option vests. The option vests over a 5 year period, with 20% of the shares subject to the option vesting on each anniversary of the grant date. |
4. This option was granted on May 13, 2015 and is exercisable as the option vests. The option vests over a 5 year period, with 20% of the shares subject to the option vesting on each anniversary of the grant date. |
5. This option was granted on February 29, 2016 and is exercisable as the option vests. The option vests over a 5 year period, with 20% of the shares subject to the option vesting on each anniversary of the grant date. |
6. This option was granted on August 14, 2017 and is exercisable as the option vests. The option vests over a 5 year period, with 20% of the shares subject to the option vesting on each anniversary of the grant date. |
Remarks: |
Exhibit 24 - Power of Attorney |
/s/ David J. Van Ramshorst, Attorney-In-Fact | 03/20/2018 | |
** 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 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. |