Annual Statement of Changes in Beneficial Ownership (5)
17 Décembre 2021 - 04:22PM
Edgar (US Regulatory)
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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).
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Form 3 Holdings Reported
[X]
Form 4 Transactions Reported
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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
*
Gonsalves Rodney | 2. Issuer Name and Ticker or Trading SymbolAGILENT TECHNOLOGIES, INC. [A] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) V.P., Corporate Controller |
(Last)
(First)
(Middle)
5301 STEVENS CREEK BLVD | 3. Statement for Issuer's Fiscal Year Ended (MM/DD/YYYY) 10/31/2020 |
(Street)
SANTA CLARA, CA 95051
(City)
(State)
(Zip)
| 4. If Amendment, Date Original Filed(MM/DD/YYYY) | 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) | 2. Trans. Date | 2A. Deemed Execution Date, if any | 3. Trans. 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) |
Amount | (A) or (D) | Price |
Common Stock | 1/2/2020 | | F4 | 728.618 (1) | D | $85.39 | 35675.19 | D | |
Common Stock | 2/25/2020 | | G | 1000 | D | $77.95 | 35675.19 | D | |
Common Stock | 2/25/2020 | | G | 1000 | A | $77.95 | 0 | I | Gonsalves Family Charitable Gift Fund (2) |
Common Stock | 2/25/2020 | | S4 | 1000 | D | $79.80 | 0 | I | Gonsalves Family Charitable Gift Fund (2) |
Common Stock | 3/25/2020 | | F4 | 1.092 (3) | D | $69.579 | 35675.19 | D | |
Common Stock | 5/27/2020 | | G | 650 | D | $86.18 | 35675.19 | D | |
Common Stock | 5/27/2020 | | G | 650 | A | $86.18 | 0 | I | Gonsalves Family Charitable Gift Fund (2) |
Common Stock | 5/27/2020 | | S4 | 650 | D | $85.47 | 0 | I | Gonsalves Family Charitable Gift Fund (2) |
Common Stock | 8/14/2020 | | G | 2990.192 | D | $97.37 | 35675.19 | D | |
Common Stock | 8/14/2020 | | G | 2990.192 | A | $97.37 | 2440.192 | I | Gonsalves Trust (4) |
Common Stock | 8/25/2020 | | G | 550 | D | $98.34 | 2440.192 | I | Gonsalves Trust (4) |
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 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 (MM/DD/YYYY) | 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 at End of Issuer's Fiscal Year (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | The reporting person surrendered 728.618 shares to Agilent Technologies, Inc. to satisfy the tax liability on the vesting of restricted stock units in accordance with Rule 16b-3. |
(2) | Shares held by the Gonsalves Family Charitable Gift Fund for which Rodney Gonsalves is the trustee. |
(3) | The reporting person surrendered 1.092 shares to Agilent Technologies, Inc. to satisfy the tax liability on the vesting of restricted stock units in accordance with Rule 16b-3. |
(4) | Shares held by the Gonsalves Trust for which Rodney and Rochelle Gonsalves are the trustees. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Gonsalves Rodney 5301 STEVENS CREEK BLVD SANTA CLARA, CA 95051 |
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| V.P., Corporate Controller |
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Signatures
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/s/ P. Diana Chiu, attorney-in-fact for Mr. Gonsalves | | 12/17/2021 |
**Signature of Reporting Person | Date |
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