SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
Pascaud Raphael

(Last) (First) (Middle)
C/O ALIGN TECHNOLOGY, INC.
2560 ORCHARD PARKWAY

(Street)
SAN JOSE CA 95131

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/13/2014
3. Issuer Name and Ticker or Trading Symbol
ALIGN TECHNOLOGY INC [ ALGN ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP, International
5. 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 Beneficially Owned
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 467 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: 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
Right to Buy (Common Stock) 11/15/2011 12/01/2017 Common Stock 5,400(1) $17.97 D
Restricted Stock Unit 02/20/2013 02/20/2019 Common Stock 3,000(2) $0.0001(3) D
Restricted Stock Unit 02/20/2014 02/20/2020 Common Stock 3,500(4) $0.0001(3) D
Restricted Stock Unit 02/20/2014 03/01/2020 Common Stock 4,000(4) $0.0001(3) D
Restricted Stock Unit 11/20/2014 11/20/2020 Common Stock 5,000(5) $0.0001(3) D
Explanation of Responses:
1. Represents an option in which 1/48th of the shares subject to the option vest each month after the Date Exercisable set forth above, subject to the reporting person's continued employment with the issuer.
2. 1/4th of the restricted stock unit becomes vested on February 20, 2013 and 1/4th of the restricted stock unit will vest annually thereafter. Shares will be delivered to reporting person on each vest date.
3. Represents par value of ALGN common stock.
4. 1/4th of the restricted stock unit becomes vested on February 20, 2014 and 1/4th of the restricted stock unit will vest annually thereafter. Shares will be delivered to reporting person on each vest date.
5. 1/4th of the restricted stock unit becomes vested on November 20, 2014 and 1/4th of the restricted stock until will vest annually thereafter. Shares will be delivered to reporting person on each vest date.
Roger E. George Atty-in-Fact for Raphael Pascaud 01/17/2014
** 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 5 (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.