Initial Statement of Beneficial Ownership (3)
August 01 2014 - 9:57AM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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
*
Grau Dominique
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2. Date of Event Requiring Statement (MM/DD/YYYY)
8/1/2014
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3. Issuer Name
and
Ticker or Trading Symbol
AGILENT TECHNOLOGIES INC [A]
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(Last)
(First)
(Middle)
5301 STEVENS CREEK BLVD
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
___
X
___ Officer (give title below)
_____ Other (specify below)
Senior Vice President /
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(Street)
SANTA CLARA, CA 95051
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
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X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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17037.573
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Employee Stock Option (Right to Buy)
(1)
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11/29/2008
(2)
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11/28/2017
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Common Stock
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8000
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$37.47
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D
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Employee Stock Option (Right to Buy)
(3)
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11/18/2009
(2)
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11/17/2018
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Common Stock
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22624
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$19.00
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D
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Employee Stock Option (Right to Buy)
(3)
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11/18/2010
(4)
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11/17/2019
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Common Stock
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19002
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$29.46
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D
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Employee Stock Option (Right to Buy)
(3)
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11/17/2011
(4)
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11/16/2020
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Common Stock
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13009
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$35.21
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D
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Employee Stock Option (Right to Buy)
(3)
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11/17/2012
(4)
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11/16/2021
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Common Stock
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11269
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$37.21
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D
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Employee Stock Option (Right to Buy)
(3)
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11/21/2013
(4)
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11/20/2022
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Common Stock
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13200
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$35.84
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D
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Employee Stock Option (Right to Buy)
(3)
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11/20/2014
(4)
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11/19/2023
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Common Stock
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9477
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$53.53
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D
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Explanation of Responses:
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(
1)
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Right to buy Agilent Technologies, Inc. common stock granted under the Agilent Technologies, Inc. 1999 Stock Plan, in compliance with Rule 16b-3.
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(
2)
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The option is fully vested and exercisable
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(
3)
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Right to buy Agilent Technologies, Inc. common stock granted under the Agilent Technologies, Inc. Stock Plan, in compliance with Rule 16b-3.
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(
4)
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The option is exercisable in four equal annual installments beginning on the first anniversary of the date of the grant. The first vesting date is stated.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Grau Dominique
5301 STEVENS CREEK BLVD
SANTA CLARA, CA 95051
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Senior Vice President
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Signatures
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/s/ Michael Tang, Attorney-in-fact for Mr. Grau
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7/29/2014
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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 control number.
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