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) 03/01/2021 | 3. Issuer Name and Ticker or Trading Symbol Viatris Inc [ VTRS ] | |||||||||||||
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 | 119,305 | D | |
Common Stock | 5,574 | I | By 401(k) Plan |
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 | (1) | 02/22/2022 | Common Stock | 4,266 | 23.44 | D | |
Employee Stock Option - Right to Buy | (2) | 03/06/2023 | Common Stock | 3,236 | 30.9 | D | |
Employee Stock Option - Right to Buy | (3) | 03/05/2024 | Common Stock | 12,009 | 55.84 | D | |
Employee Stock Option - Right to Buy | (4) | 11/17/2025 | Common Stock | 16,265 | 50.66 | D | |
Employee Stock Option - Right to Buy | (5) | 02/17/2026 | Common Stock | 27,314 | 46.27 | D | |
Employee Stock Option - Right to Buy | (6) | 03/03/2027 | Common Stock | 29,275 | 45.18 | D | |
Employee Stock Option - Right to Buy | (7) | 03/02/2028 | Common Stock | 29,833 | 40.97 | D | |
Restricted Stock Units | (8) | (8) | Common Stock | 6,102 | 0.00 | D | |
Restricted Stock Units | (9) | (9) | Common Stock | 30,511 | 0.00 | D | |
Employee Stock Option - Right to Buy | (10) | 03/01/2029 | Common Stock | 27,851 | 27.45 | D | |
Restricted Stock Units | (11) | (11) | Common Stock | 31,087 | 0.00 | D | |
Restricted Stock Units | (12) | (12) | Common Stock | 58,288 | 0.00 | D | |
Employee Stock Option - Right to Buy | (13) | 03/02/2030 | Common Stock | 39,361 | 17.48 | D | |
Restricted Stock Units | (14) | (14) | Common Stock | 73,227 | 0.00 | D | |
Restricted Stock Units | (15) | (15) | Common Stock | 91,534 | 0.00 | D |
Explanation of Responses: |
1. These options vested on February 22, 2015. |
2. These options vested on March 6, 2016. |
3. These options vested on March 5, 2017. |
4. These options vested on March 4, 2018. |
5. These options vested on February 17, 2019. |
6. These options vested on March 3, 2020. |
7. 9,945 of these options vested on March 2, 2019, 9,944 vested on March 2, 2020 and 9,944 will vest on March 2, 2021. |
8. Each restricted stock unit (RSU) represents the right to receive one share of common stock of Viatris Inc. ("Viatris"). These RSUs will vest on March 2, 2021. |
9. Each RSU represents the right to receive one share of common stock of Viatris Inc. These RSUs will vest in full on March 2, 2021. |
10. 9,284 of these options vested on March 2, 2020, 9,283 will vest on March 2, 2021 and 9,284 will vest on March 2, 2022. |
11. Each RSU represents the right to receive one share of common stock of Viatris. 15,543 of the RSUs will vest on March 2, 2021 and 15,544 will vest on March 2, 2022. |
12. Each RSU represents the right to receive one share of common stock of Viatris. These RSUs will vest in full on March 2, 2022. |
13. 13,121 of these options will vest on March 2, 2021 and 13,120 will vest on each of March 2, 2022 and March 2, 2023. |
14. Each RSU represents the right to receive one share of common stock of Viatris. These RSUs will vest in three equal annual installments beginning on March 2, 2021. |
15. Each RSU represents the right to receive one share of common stock of Viatris. These RSUs will vest in full on March 2, 2023. |
Remarks: |
President, Developed Markets Exhibit 24 - Power of Attorney |
/s/ Kevin Macikowski, by power of attorney | 03/04/2021 | |
** 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. |