Statement of Changes in Beneficial Ownership (4)
August 12 2020 - 7:35PM
Edgar (US Regulatory)
FORM 4
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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
*
Bruff Jesse Michael |
2. Issuer Name and Ticker or Trading Symbol
VARIAN MEDICAL SYSTEMS INC
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VAR
]
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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) SVP Finance, CFO |
(Last)
(First)
(Middle)
3100 HANSEN WAY |
3. Date of Earliest Transaction
(MM/DD/YYYY)
8/10/2020 |
(Street)
PALO ALTO, CA 94304
(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 | 8/10/2020 | | M | | 840 | A | (1) | 1759 | D | |
Common Stock | 8/10/2020 | | M | | 776 | A | (1) | 2535 | D | |
Common Stock | 8/10/2020 | | F(2) | | 558 | D | $173.33 | 1977 | 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 |
Restricted Stock Units | (1) | 8/10/2020 | | M | | | 840 | (3) | (3) | Common Stock | 840 | (1) | 0 | D | |
Restricted Stock Units | (1) | 8/10/2020 | | M | | | 776 | (4) | (4) | Common Stock | 776 | (1) | 1553 | D | |
Explanation of Responses: |
(1) | Each restricted stock unit represents a contingent right to receive one share of VAR common stock. |
(2) | Represents shares withheld from vested restricted stock units for the payment of federal, state and payroll taxes due on vesting. |
(3) | 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. |
(4) | 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. |
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 | | 8/12/2020 |
**Signature of Reporting Person | Date |
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