Initial Statement of Beneficial Ownership (3)
May 25 2017 - 4:36PM
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
Estimated average burden
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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
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Hadjadjeba Lionel
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2. Date of Event Requiring Statement (MM/DD/YYYY)
5/18/2017
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3. Issuer Name
and
Ticker or Trading Symbol
ACCURAY INC [ARAY]
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(Last)
(First)
(Middle)
1310 CHESAPEAKE TERRACE
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
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X
___ Officer (give title below)
_____ Other (specify below)
SVP, Chief Commercial Officer /
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(Street)
SUNNYVALE, CA 94089
(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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204672
(1)
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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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Non-Qualified Stock Option (right to buy)
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(2)
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11/30/2026
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Common Stock
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55700
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$5.05
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D
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Non-Qualified Stock Option (right to buy)
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(3)
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12/31/2022
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Common Stock
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30000
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$6.43
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D
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Explanation of Responses:
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(1)
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94,331 shares are held directly by the reporting person, of which 963 of these shares were acquired through the Accuray 2007 Employee Stock Purchase Plan. An additional 25,326 shares were acquired through the vesting and release of MSUs granted on 10/31/2013. The remaining 68,042 shared directly owned were acquired through the vesting and release of RSU awards. Also included in this total are the remaining shares from RSU grants not fully vested: 5,000 unvested RSUs granted on 10/31/2013; 10,541 remaining unvested RSUs granted on 10/30/2014; 22,500 unvested RSUs granted on 10/30/2015; 50,000 shares granted on 6/30/2016 which will vest at 33% on 6/30/2017, 33% on 7/2/2018 and 34% on 7/1/2019; and 22,300 RSUs granted on 11/30/2016 which will vest in equal amounts on 11/30/2017, 11/30/2018, 12/2/2019 and 11/30/2020.
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(2)
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The shares subject to option vest 25% on the first anniversary of the grant, 11/30/2017, and the remaining shares vest in equal monthly installments until fully vested on 11/30/2020.
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(3)
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Fully vested on 12/31/2016.
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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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Hadjadjeba Lionel
1310 CHESAPEAKE TERRACE
SUNNYVALE, CA 94089
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SVP, Chief Commercial Officer
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Signatures
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By: Kristen Howells For: Lionel Hadjadjeba
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5/25/2017
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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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