SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
SAUNDERS BRENT L

(Last) (First) (Middle)
1 GRAND CANAL SQUARE

(Street)
DUBLIN 2 L2 00000

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Actavis plc [ ACT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
CEO and President
3. Date of Earliest Transaction (Month/Day/Year)
07/01/2014
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Ordinary Shares, par value $0.0001 07/01/2014 A 96,865(1)(2) A (1) 96,865(2) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction 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 (Month/Day/Year) 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: 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) $70.78 07/01/2014 A 9,446(3) (1) 08/22/2021 Ordinary Shares 9,446 $0 9,446 D
Stock Option (Right to Buy) $73.13 07/01/2014 A 3,691(4) (1) 08/22/2022 Ordinary Shares 3,691 $0 3,691 D
Stock Option (Right to Buy) $90.22 07/01/2014 A 2,790(4) (1) 08/14/2023 Ordinary Shares 2,790 $0 2,790 D
Stock Option (Right to Buy) $91.13 07/01/2014 A 222,958(5) (1) 09/30/2023 Ordinary Shares 222,958 $0 222,958 D
Stock Option (Right to Buy) $196.16 07/01/2014 A 63,566(6) (1) 05/12/2024 Ordinary Shares 63,566 $0 63,566 D
Performance-Based Restricted Stock Unit (7) 07/01/2014 A 114,997(7) (7) (7) Ordinary Shares 114,997 $0 114,997 D
Stock Option (Right to Buy) $224 07/01/2014 A 104,651(8) (8) 07/01/2024 Ordinary Shares 104,651 $0 104,651 D
Explanation of Responses:
1. On July 1, 2014, the Issuer ("Actavis") acquired Forest Laboratories, Inc. ("Forest") through a series of merger transactions which resulted in Forest becoming an indirect wholly-owned subsidiary of Actavis (the "Acquisition"). In connection with the Acquisition, each (i) unvested share of Forest restricted stock (each, a "Forest RSS") and each unvested Forest restricted stock unit (each, a "Forest RSU") was converted into restricted stock units of Actavis (each, an "Actavis RSU") and (ii) option to purchase Forest shares (each, a "Forest Option") was exchanged for an option to purchase ordinary shares of Actavis, in each case at a rate of 0.4723 Actavis award per corresponding Forest award. Each share of Forest common stock held by the Reporting Person was exchanged for $25.67 in cash plus 0.3326 of an Actavis ordinary share, with fractions of an Actavis ordinary share being cashed out at $219.00 per share.
2. Includes 96,358 Actavis RSUs issued upon the conversion of Forest RSS and Forest RSU pursuant to the terms of the Acquisition.
3. Received in exchange for a Forest Option in connection with the Acquisition. Vests as to 25% of the shares covered by the option on the six month anniversary of the grant date (August 23, 2011) and on each of the first three anniversaries of the grant date.
4. Received in exchange for a Forest Option in connection with the Acquisition. The option is fully vested.
5. Received in exchange for a Forest Option in connection with the Acquisition. Vests in approximately equal installments as to one-third of the shares covered by the option on each of the first three anniversaries of the grant date (October 1, 2013).
6. Received in exchange for a Forest Option in connection with the Acquisition. Vests in approximately equal installments as to 25% of the shares covered by the option on each of the first four anniversaries of the grant date (May 13, 2014).
7. Represents performance-based restricted share units ("PSUs") which will vest as to one-third of the total grant on each of December 31, 2017, 2018 and 2019, subject to the achievement by Actavis of certain performance criteria. Each PSU represents a contingent right to receive ordinary shares of Actavis equal to the product of the applicable performance multiple and the target number of shares underlying the PSU, as set forth in the award agreement between Actavis and the Reporting Person.
8. Vests in five equal annual installments commencing on the first anniversary of the grant date (July 1, 2014).
/s/ A. Robert D. Bailey, Attorney-in-Fact for the Reporting Person 07/03/2014
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.