Statement of Changes in Beneficial Ownership (4)
April 16 2021 - 4:15PM
Edgar (US Regulatory)
FORM 4
[ ]
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
*
Mirviss Jeffrey B. |
2. Issuer Name and Ticker or Trading Symbol
BOSTON SCIENTIFIC CORP
[
BSX
]
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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) EVP&Pres, Periph Intervent |
(Last)
(First)
(Middle)
300 BOSTON SCIENTIFIC WAY |
3. Date of Earliest Transaction
(MM/DD/YYYY)
4/15/2021 |
(Street)
MARLBOROUGH, MA 01752-1234
(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 | | M(1) | | 28123.0000 | A | $6.2800 | 167281.0000 | D | |
Common Stock | 4/15/2021 | | S(1) | | 28123.0000 | D | $40.9501 (2) | 139158.0000 | 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 |
Stock Option (Right to Buy) | $6.2800 | 4/15/2021 | | M (1) | | | 28123.0000 | (3) | 2/27/2022 | Common Stock | 28123.0000 | $0.0000 | 0.0000 | D | |
Explanation of Responses: |
(1) | This transaction was effected pursuant to a pre-established Rule 10b5-1 trading plan. |
(2) | Represents the weighted average sale price. These shares were sold in multiple transactions at $40.95 and $40.955. The reporting person undertakes to provide upon request by the U.S. Securities and Exchange Commission staff, the issuer or a security holder of the issuer, full information regarding the number of shares sold at each separate price. |
(3) | Grant to the reporting person of an option to purchase 28,123 shares of common stock vesting in four equal annual installments beginning on February 27, 2013, the first anniversary of the date of grant. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Mirviss Jeffrey B. 300 BOSTON SCIENTIFIC WAY MARLBOROUGH, MA 01752-1234 |
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| EVP&Pres, Periph Intervent |
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Signatures
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/s/ Vance R. Brown, Attorney-in-fact | | 4/16/2021 |
**Signature of Reporting Person | Date |
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