Initial Statement of Beneficial Ownership (3)
December 10 2019 - 6:26PM
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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0.5
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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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Bruff Jesse Michael |
2. Date of Event Requiring Statement (MM/DD/YYYY)
12/1/2019
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3. Issuer Name and Ticker or Trading Symbol
VARIAN MEDICAL SYSTEMS INC [VAR]
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(Last)
(First)
(Middle)
3100 HANSEN WAY |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) SVP Finance, CFO / |
(Street)
PALO ALTO, CA 94304
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 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) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 550 | 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. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Non Qualified Stock Option (Right to Buy) | (1) | 8/17/2024 | Common Stock | 3750 | $99.26 | D | |
Non Qualified Stock Option (Right to Buy) | (2) | 2/8/2025 | Common Stock | 1035 | $112.82 | D | |
Non Qualified Stock Option (Right to Buy) | (3) | 2/14/2026 | Common Stock | 5716 | $131.77 | D | |
Non Qualified Stock Option (Right to Buy) | (4) | 8/15/2026 | Common Stock | 10465 | $107.32 | D | |
Restricted Stock Units | (5) | (5) | Common Stock | 2329 | (6) | D | |
Restricted Stock Units | (7) | (7) | Common Stock | 840 | (6) | D | |
Restricted Stock Units | (8) | (8) | Common Stock | 1265 | (6) | D | |
Restricted Stock Units | (9) | (9) | Common Stock | 394 | (6) | D | |
Explanation of Responses: |
(1) | Stock option granted under the Varian Medical Systems, Inc. Fourth Amended and Restated 2005 Omnibus Stock Plan which complies with Rule 16b-3. The option vests as follows: one third on 8/17/2018, and the remaining shares in 24 equal installments over the 24 months following the first vesting date. |
(2) | Stock option granted under the Varian Medical Systems, Inc. Fifth Amended and Restated 2005 Omnibus Stock Plan which complies with Rule 16b-3. The option vests as follows: one third on February 8, 2019, and the remaining shares in 24 equal installments over the 24 months following the first vesting date. |
(3) | Stock option granted under the Varian Medical Systems, Inc. Fifth Amended and Restated 2005 Omnibus Stock Plan which complies with Rule 16b-3. The option vests as follows: one third on February 14, 2020, and the remaining shares in 24 equal installments over the 24 months following the first vesting date. |
(4) | Stock option granted under the Varian Medical Systems, Inc. Third Amended and Restated 2005 Omnibus Stock Plan, which complies with Rule 16b-3. The option vests as follows: one third on 8/15/2020, and the remaining shares in 24 equal installments over the 24 months following the first vesting date. |
(5) | The restricted stock units vest in three equal installments on August 10, 2020, August 10, 2021, and August 10, 2022. Vested shares will be delivered to the reporting person on vest date. |
(6) | Each restricted stock unit represents a contingent right to receive one share of VAR common stock. |
(7) | The restricted stock units vest on the earlier of August 10, 2020, or the next Annual Meeting of Stockholders that occurs after the Grant Date. Vested shares will be delivered to the reporting person on vest date. |
(8) | The restricted stock units vest in three equal installments on February 15, 2020, February 15, 2021, and February 15, 2022. Vested shares will be delivered to the reporting person on vest date. |
(9) | The restricted stock units vest in three equal installments on February 15, 2019, February 15, 2020, and February 15, 2021. Vested shares will be delivered to the reporting person on vest date. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Bruff Jesse Michael 3100 HANSEN WAY PALO ALTO, CA 94304 |
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| SVP Finance, CFO |
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Signatures
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/s/ Michael B. Dunn, attorney-in-fact for Jesse Michael Bruff | | 12/10/2019 |
**Signature of Reporting Person | Date |
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