Statement of Changes in Beneficial Ownership (4)
2020年12月4日 - 5:20AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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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
*
Toth Christopher A. |
2. Issuer Name and Ticker or Trading Symbol
VARIAN MEDICAL SYSTEMS INC
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VAR
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) SVP and Pres. Oncology Systems |
(Last)
(First)
(Middle)
C/O VARIAN MEDICAL SYSTEMS, INC., 3100 HANSEN WAY M/S E327 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/1/2020 |
(Street)
PALO ALTO, CA 94304
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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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)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 12/1/2020 | | M | | 4823 | A | $80.40 | 7694 | D | |
Common Stock | 12/1/2020 | | F | | 3514 (1) | D | $174.19 | 4180 | D | |
Common Stock | 12/1/2020 | | M | | 8794 | A | $112.82 | 12974 | D | |
Common Stock | 12/1/2020 | | F | | 7232 (2) | D | $174.19 | 5742 | D | |
Common Stock | 12/1/2020 | | M | | 8573 | A | $131.77 | 14315 | D | |
Common Stock | 12/1/2020 | | F | | 7521 (3) | D | $174.19 | 6794 | D | |
Common Stock | 12/1/2020 | | M | | 13450 | A | $146.91 | 20244 | D | |
Common Stock | 12/1/2020 | | F | | 12388 (4) | D | $174.19 | 7856 | D | |
Common Stock | 12/1/2020 | | M | | 11594 | A | $0 | 19450 | D | |
Common Stock | 12/1/2020 | | F | | 5748 (5) | D | $174.19 | 13702 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 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 of Derivative Security: 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) | $80.40 | 12/1/2020 | | M | | | 4823 | (6) | 2/10/2024 | Common Stock | 4823 | $0 | 0 | D | |
Non Qualified Stock Option (Right to Buy) | $112.82 | 12/1/2020 | | M | | | 8794 | (7) | 2/8/2025 | Common Stock | 8794 | $0 | 0 | D | |
Non Qualified Stock Option (Right to Buy) | $131.77 | 12/1/2020 | | M | | | 8573 | (8) | 2/14/2026 | Common Stock | 8573 | $0 | 0 | D | |
Non Qualified Stock Option (Right to Buy) | $146.91 | 12/1/2020 | | M | | | 13450 | (9) | 2/13/2027 | Common Stock | 13450 | $0 | 0 | D | |
Restricted Stock Units | (10) | 12/1/2020 | | M | | | 11594 | (11) | (11) | Common Stock | 11594 | $0 | 4825 | D | |
Explanation of Responses: |
(1) | Represents shares withheld for payment of exercise price of $80.40 per share as well as payment of federal, state and payroll taxes due on settlement |
(2) | Represents shares withheld for payment of exercise price of $112.82 per share as well as payment of federal, state and payroll taxes due on settlement. |
(3) | Represents shares withheld for payment of exercise price of $131.77 per share as well as payment of federal, state and payroll taxes due on settlement |
(4) | Represents shares withheld for payment of exercise price of $146.91 per share as well as payment of federal, state and payroll taxes due on settlement |
(5) | Represents shares withheld from vested RSUs for the payment of federal, state and payroll taxes due on settlement. |
(6) | 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. |
(7) | Per agreement executed on 24 November 2020, vesting on all outstanding stock option shares has been accelerated. Stock option granted under the Varian Medical Systems, Inc. Fifth Amended and Restated 2005 Omnibus Stock Plan which complies with Rule 16b-3. The option originally vested as follows: one third on February 8, 2019, and the remaining shares in 24 equal installments over the 24 months following the first vesting date. |
(8) | Per agreement executed on 24 November 2020, vesting on all outstanding stock option shares has been accelerated. Stock option granted under the Varian Medical Systems, Inc. Fifth Amended and Restated 2005 Omnibus Stock Plan which complies with Rule 16b-3. The options originally vested as follows: one third on February 14, 2020, and the remaining shares in 24 equal installments over the 24 months following the first vesting date. |
(9) | Per agreement executed on 24 November 2020, vesting on all outstanding stock option shares has been accelerated. Stock option granted under the Varian Medical Systems, Inc. Fifth Amended and Restated 2005 Omnibus Stock Plan which complies with Rule 16b-3. The options originally vested as follows: one third on February 13, 2021, and the remaining shares in 24 equal installments over the 24 months following the first vesting date. |
(10) | Each restricted stock unit represents a contingent right to receive one share of VAR common stock. |
(11) | Per agreement executed on 24 November 2020, vesting on all outstanding restricted stock unit shares has been accelerated. The restricted stock units vest originally vested in three equal installments on August 10, 2021, August 10, 2022, and August 10, 2023. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Toth Christopher A. C/O VARIAN MEDICAL SYSTEMS, INC. 3100 HANSEN WAY M/S E327 PALO ALTO, CA 94304 |
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| SVP and Pres. Oncology Systems |
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Signatures
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/s/ Michael B. Dunn , attorney-in-fact for Christopher A. Toth | | 12/1/2020 |
**Signature of Reporting Person | Date |
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