Statement of Changes in Beneficial Ownership (4)
17 Avril 2021 - 1:52AM
Edgar (US Regulatory)
FORM 4
[X]
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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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
*
KENNEDY KOLLEEN T |
2. Issuer Name and Ticker or Trading Symbol
VARIAN MEDICAL SYSTEMS INC
[
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) Pres. Proton Solutions, CGO |
(Last)
(First)
(Middle)
C/O VARIAN MEDICAL SYSTEMS, INC., 3100 HANSEN WAY, MAIL STOP E327 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
4/15/2021 |
(Street)
PALO ALTO, CA 94304-1038
(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 | 4/15/2021 | | D | | 29249 (1) | D | (2) | 0 | 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) | $64.68 | 4/15/2021 | | D | | | 1630 | (3) | 2/8/2025 | Common Stock | 1630 | $112.82 (3) | 0 | D | |
Non Qualified Stock Option (Right to Buy) | $45.73 | 4/15/2021 | | D | | | 6002 | (4) | 2/14/2026 | Common Stock | 6002 | $131.77 (4) | 0 | D | |
Non Qualified Stock Option (Right to Buy) | $30.59 | 4/15/2021 | | D | | | 14122 | (5) | 2/13/2027 | Common Stock | 14122 | $146.91 | 0 | D | |
Restricted Stock Units | (6) | 4/15/2021 | | D | | | 1063 | (7) | (7) | Common Stock | 1063 | (7) | 0 | D | |
Restricted Stock Units | (6) | 4/15/2021 | | D | | | 12103 | (8) | (8) | Common Stock | 12103 | (8) | 0 | D | |
Restricted Stock Units | (6) | 4/15/2021 | | D | | | 1906 | (9) | (9) | Common Stock | 1906 | (9) | 0 | D | |
Performance Shares | (10) | 4/15/2021 | | D | | | 8859 | (11) | (11) | Common Stock | 8859 | (11) | 0 | D | |
Performance Shares | (10) | 4/15/2021 | | D | | | 10777 | (12) | (12) | Common Stock | 10777 | (12) | 0 | D | |
Explanation of Responses: |
(1) | Amount of securities beneficially owned at end of reporting period reflect a reduction of 7 shares as a result of a tax correction for the February 16, 2021 RSU vesting. |
(2) | Disposed of pursuant to merger agreement (the "Merger Agreement") between issuer and Siemens Healthineers I GmbH and certain other parties in exchange for a cash payment of $177.50 per share of common stock. |
(3) | Pursuant to the Merger Agreement, these options, which provided for vesting of one third on 2/8/2019, and the remaining shares in 24 equal installments over the 24 months following, were cancelled in exchange for a cash payment representing the difference between $177.50 and the exercise price of each share of underlying common stock. |
(4) | Pursuant to the Merger Agreement, these options, which provided for vesting of one third on 2/14/2020, and the remaining shares in 24 equal installments over the 24 months following, were canceled in exchange for a cash award representing the difference between $177.50 and the exercise price of the option of the underlying common stock. |
(5) | Pursuant to the Merger Agreement, these options, which provided for vesting of one third on 2/13/2021, and the remaining shares in 24 equal installments over the 24 months following, were cancelled in exchange for a cash payment representing the difference between $177.50 and the exercise price of each share of underlying common stock. |
(6) | Each restricted stock unit represents a contingent right to receive one share of VAR common stock. |
(7) | Pursuant to the Merger Agreement, these restricted stock units, which provided for vesting in three equal annual installments beginning February 14, 2020, were cancelled in exchange for a cash payment of $177.50 per unvested share of underlying common stock. |
(8) | Pursuant to the Merger Agreement, these restricted stock units, which provided for vesting in three equal annual installments beginning November 15, 2021, were cancelled in exchange for a cash award equal to $177.50 per unvested share of underlying common stock that will vest and pay out according to the same schedule. |
(9) | Pursuant to the Merger Agreement, these restricted stock units, which provided for vesting in three equal annual installments beginning February 15, 2021, were cancelled in exchange for a cash payment of $177.50 per unvested share of underlying common stock. |
(10) | Each performance stock unit represents a contingent right to receive one share of VAR common stock. |
(11) | Pursuant to the Merger Agreement, these performance stock units, which were granted November 21, 2019, were cancelled in exchange for a cash payment of $177.50 per share of underlying common stock and applicable performance conditions were deemed to be achieved at the target performance level. |
(12) | Pursuant to the Merger Agreement, these performance stock units, which were granted November 15, 2018, were cancelled in exchange for a cash payment of $177.50 per share of underlying common stock and applicable performance conditions were deemed to be achieved at the target performance level. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
KENNEDY KOLLEEN T C/O VARIAN MEDICAL SYSTEMS, INC. 3100 HANSEN WAY, MAIL STOP E327 PALO ALTO, CA 94304-1038 |
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| Pres. Proton Solutions, CGO |
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Signatures
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/s/ Magnus Momsen, attorney-in-fact | | 4/16/2021 |
**Signature of Reporting Person | Date |
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