Initial Statement of Beneficial Ownership (3)
January 06 2017 - 5:10PM
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
*
TWIGGE GIOVANI
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2. Date of Event Requiring Statement (MM/DD/YYYY)
12/30/2016
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3. Issuer Name
and
Ticker or Trading Symbol
IDEXX LABORATORIES INC /DE [IDXX]
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(Last)
(First)
(Middle)
IDEXX LABORATORIES, INC., ONE IDEXX DRIVE
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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)
CVP - Chief HR Officer /
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(Street)
WESTBROOK, ME 04092
(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)
_
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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17729
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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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Restricted Stock Unit
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(1)
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(1)
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Common Stock
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5512
(1)
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(1)
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D
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Non-Qualified Stock Option (right-to-buy)
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(2)
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2/13/2019
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Common Stock
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11372
(12)
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$43.71
(12)
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D
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Incentive Stock Option (right-to-buy)
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(3)
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2/13/2019
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Common Stock
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2286
(12)
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$43.71
(12)
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D
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Non-Qualified Stock Option (right-to-buy)
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(4)
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2/13/2023
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Common Stock
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14750
(12)
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$45.84
(12)
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D
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Incentive Stock Option (right-to-buy)
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(5)
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2/13/2023
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Common Stock
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2180
(12)
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$45.84
(12)
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D
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Non-Qualified Stock Option (right-to-buy)
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(6)
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2/13/2024
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Common Stock
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12814
(12)
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$62
(12)
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D
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Incentive Stock Option (right-to-buy)
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(7)
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2/13/2024
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Common Stock
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1612
(12)
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$62
(12)
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D
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Non-Qualified Stock Option (right-to-buy)
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(8)
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2/13/2025
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Common Stock
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19354
(12)
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$79.54
(12)
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D
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Incentive Stock Option (right-to-buy)
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(9)
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2/13/2025
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Common Stock
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1256
(12)
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$79.54
(12)
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D
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Non-Qualified Stock Option (right-to-buy)
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(10)
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2/13/2026
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Common Stock
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22028
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$67.85
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D
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Incentive Stock Option (right-to-buy)
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(11)
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2/13/2026
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Common Stock
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1476
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$67.85
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D
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Explanation of Responses:
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(
1)
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Each restricted stock unit represents a contingent right to receive one share of IDEXX Laboratories, Inc. common stock and vest in five equal annual installments beginning on the first anniversary of the date of grant. The number of restricted stock units reported was adjusted to reflect a 2-for-1 stock split in the form of a 100% stock dividend on IDEXX Laboratories, Inc. common stock paid on June 15, 2015 (the "Stock Split").
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(
2)
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Grant of option to buy 7,394 shares of Issuer common stock that vests in five annual installments beginning on February 14, 2013, without giving effect to the Stock Split.
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(
3)
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Grant of option to buy 1,143 shares of Issuer common stock that vests in one installment on February 14, 2017, without giving effect to the Stock Split.
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(
4)
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Grant of option to buy 7,375 shares of Issuer common stock that vests in five annual installments beginning on February 14, 2014, without giving effect to the Stock Split.
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(
5)
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Grant of option to buy 1,090 shares of Issuer common stock that vests in one installment on February 14, 2018, without giving effect to the Stock Split.
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(
6)
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Grant of option to buy 6,407 shares of Issuer common stock that vests in five annual installments beginning on February 14, 2015, without giving effect to the Stock Split.
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(
7)
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Grant of option to buy 806 shares of Issuer common stock that vests in one installment on February 14, 2019, without giving effect to the Stock Split.
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(
8)
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Grant of option to buy 9,677 shares of Issuer common stock that vests in five annual installments beginning on February 14, 2016, without giving effect to the Stock Split.
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(
9)
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Grant of option to buy 628 shares of Issuer common stock that vests in one installment on February 14, 2020, without giving effect to the Stock Split.
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(
10)
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Grant of option to buy22,028 shares of Issuer common stock that vests in five annual installments beginning on February 14, 2017.
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(
11)
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Grant of option to buy 1,476 shares of Issuer common stock that vests as to 1 share on February 14, 2017, February 14, 2018 and February 14, 2020, respectively, and as to the remainder on February 14, 2021.
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(
12)
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The number of remaining derivative securities reported as beneficially owned and price with respect to this option were adjusted to reflect the Stock Split.
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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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TWIGGE GIOVANI
IDEXX LABORATORIES, INC.
ONE IDEXX DRIVE
WESTBROOK, ME 04092
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CVP - Chief HR Officer
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Signatures
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/s/ Giovani Twigge
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1/6/2017
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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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