Statement of Changes in Beneficial Ownership (4)
September 24 2021 - 6:01PM
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
*
GOETTLER MICHAEL |
2. Issuer Name and Ticker or Trading Symbol
Viatris Inc
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VTRS
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chief Executive Officer |
(Last)
(First)
(Middle)
1000 MYLAN BOULEVARD |
3. Date of Earliest Transaction
(MM/DD/YYYY)
9/22/2021 |
(Street)
CANONSBURG, PA 15317
(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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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 |
Dividend Equivalent Units | (1) | 9/22/2021 | | A | | 436.6893 | | (1) | (1) | Common Stock | 436.6893 | $0.00 | 826.6617 | D | |
Dividend Equivalent Units | (2) | 9/22/2021 | | A | | 970.9738 | | (2) | (2) | Common Stock | 970.9738 | $0.00 | 1838.073 | D | |
Dividend Equivalent Units | (3) | 9/22/2021 | | A | | 2061.5155 | | (3) | (3) | Common Stock | 2061.5155 | $0.00 | 3902.4905 | D | |
Explanation of Responses: |
(1) | Represents dividend equivalent units ("DEUs") that accrued with respect to the 53,958 restricted stock units ("RSUs") previously granted on November 20, 2020 and vest on the same schedule as the underlying RSUs. |
(2) | Represents DEUs that accrued with respect to the 119,975 RSUs previously granted on November 20, 2020 and vest on the same schedule as the underlying RSUs. |
(3) | Represents DEUs that accrued with respect to RSUs previously granted on March 2, 2021 and vest on the same schedule as the underlying RSUs. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
GOETTLER MICHAEL 1000 MYLAN BOULEVARD CANONSBURG, PA 15317 | X |
| Chief Executive Officer |
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Signatures
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/s/ Kevin Macikowski, by power of attorney | | 9/24/2021 |
**Signature of Reporting Person | Date |
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