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*
Olson Jennifer

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

(Street)
SAN JOSE CA 94131

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/15/2016
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 & Mgng Dir., D-DCC
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 5,282 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
Stock Option (Right to Buy) 02/19/2011(1) 02/19/2017 Common Stock 3,662 $17.94 D
Restricted Stock Unit (2) (2) Common Stock 319 $0.0001(3) D
Restricted Stock Unit (4) (4) Common Stock 401 $0.0001(3) D
Restricted Stock Unit (5) (5) Common Stock 1,250 $0.0001(3) D
Restricted Stock Unit (6) (6) Common Stock 1,234 $0.0001(3) D
Restricted Stock Unit (7) (7) Common Stock 1,749 $0.0001(3) D
Restricted Stock Unit (8) (8) Common Stock 913 $0.0001(3) D
Explanation of Responses:
1. 100% of the shares subject to the option granted on February 19, 2010 are vested and exercisable as of the date hereof.
2. The restricted stock unit granted on February 20, 2013 becomes fully vested and exercisable on February 20, 2017, provided that the reporting person is a service provider to the Company on such vest date. Vested shares will be delivered to reporting person on such vest date.
3. Represents par value of ALGN common stock
4. The restricted stock unit granted on June 3, 2013 becomes fully vested and exercisable on June 20, 2017, provided that the reporting person is a service provider to the Company on such vest date. Vested shares will be delivered to reporting person on such vest date.
5. 1/4th of the restricted stock unit granted on February 20, 2014 becomes vested and exercisable annually on the anniversary of the grant date, provided that the reporting person is a service provider to the Company on each vest date. Vested shares will be delivered to reporting person on such vest date.
6. The restricted stock unit granted on February 20, 2014 becomes fully vested and exercisable on February 20, 2017, provided that the reporting person is a service provider to the Company on such vest date. Vested shares will be delivered to reporting person on such vest date.
7. 1/4th of the restricted stock unit granted on February 20, 2015 becomes vested and exercisable annually on the anniversary of the grant date, provided that the reporting person is a service provider to the Company on each vest date. Vested shares will be delivered to reporting person on each vest date.
8. 1/4th of the restricted stock unit granted on February 20, 2016 becomes vested and exercisable annually on the anniversary of the grant date, provided that the reporting person is a service provider to the Company on each vest date. Vested shares are delivered to reporting person on each vest date.
Roger E George Atty-in-Fact for Jennifer Olson 08/17/2016
** 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.