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*
Bolton Stephanie

(Last) (First) (Middle)
C/O LIVANOVA PLC
20 EASTBOURNE TERRACE

(Street)
LONDON X0 W2 6LA

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/01/2024
3. Issuer Name and Ticker or Trading Symbol
LivaNova PLC [ LIVN ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
President, Global Epilepsy
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)
Ordinary Shares 5,461 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 Appreciation Rights (1) 03/30/2033 Ordinary Shares 11,619 $42.71 D
Stock Appreciation Rights (2) 03/30/2032 Ordinary Shares 4,410 $82.04 D
Stock Appreciation Rights (3) 03/30/2031 Ordinary Shares 4,286 $73.25 D
Stock Appreciation Rights (4) 03/30/2030 Ordinary Shares 6,377 $43.57 D
Stock Appreciation Rights (5) 03/30/2029 Ordinary Shares 2,271 $97.25 D
Stock Appreciation Rights (6) 03/15/2028 Ordinary Shares 1,605 $88.38 D
Stock Appreciation Rights (7) 05/05/2027 Ordinary Shares 3,712 $56.17 D
Restricted Stock Units(8) (9) (9) Ordinary Shares 5,319 (9) D
Restricted Stock Units(10) (11) (11) Ordinary Shares 1,371 (11) D
Restricted Stock Units(10) (12) (12) Ordinary Shares 853 (12) D
Restricted Stock Units(10) (13) (13) Ordinary Shares 573 (13) D
Performance Stock Units(14) (15) (15) Ordinary Shares 2,659 $0 D
Performance Stock Units(14) (16) (16) Ordinary Shares 2,659 $0 D
Performance Stock Units(14) (17) (17) Ordinary Shares 5,319 $0 D
Performance Stock Units(18) (19) (19) Ordinary Shares 914 $0 D
Performance Stock Units(18) (20) (20) Ordinary Shares 914 $0 D
Performance Stock Units(18) (21) (21) Ordinary Shares 1,828 $0 D
Performance Stock Units(18) (22) (22) Ordinary Shares 853 $0 D
Performance Stock Units(18) (23) (23) Ordinary Shares 853 $0 D
Performance Stock Units(18) (24) (24) Ordinary Shares 1,706 $0 D
Option to purchase common stock (25) 06/15/2024 Ordinary Shares 551 $57.39 D
Explanation of Responses:
1. Reporting person was granted an award of stock appreciation rights ("SARs"). Subject to the terms and conditions of the 2022 Plan and the award agreement, the SARs shall vest in equal installments of 25% on each of the first four anniversaries of the grant date, March 30, 2023.
2. Reporting person was granted an award of SARs. Subject to the terms and conditions of the 2015 Plan and the award agreement, the SARs shall vest in equal installments of 25% on each of the first four anniversaries of the grant date, March 30, 2022.
3. Reporting person was granted an award of SARs. Subject to the terms and conditions of the 2015 Plan and the award agreement, the SARs shall vest in equal installments of 25% on each of the first four anniversaries of the grant date, March 30, 2021.
4. Reporting person was granted an award of SARs. Subject to the terms and conditions of the 2015 Plan and the award agreement, the SARs shall vest in equal installments of 25% on each of the first four anniversaries of the grant date, March 30, 2020.
5. Reporting person was granted an award of SARs. Subject to the terms and conditions of the 2015 Plan and the award agreement, the SARs vested in equal installments of 25% on each of the first four anniversaries of the grant date, March 30, 2019.
6. Reporting person was granted an award of SARs. Subject to the terms and conditions of the 2015 Plan and the award agreement, the SARs vested in equal installments of 25% on each of the first four anniversaries of the grant date, March 15, 2018.
7. Reporting person was granted an award of SARs. Subject to the terms and conditions of the 2015 Plan and the award agreement, the SARs vested in equal installments of 25% on each of the first four anniversaries of the grant date, May 5, 2017.
8. Each restricted stock unit ("RSU") represents a contingent right to receive one ordinary share ("Ordinary Share") of LivaNova PLC (the "Company"), GBP 1.00 par value, in accordance with the terms of the LivaNova PLC 2022 Incentive Award Plan (the "2022 Plan") and the award agreement.
9. The reporting person was granted 5,319 RSUs on December March 30, 2023, subject to a four-year vesting schedule, which begins on March 30, 2024. The unvested RSUs reported here vest 25% on March 30, 2024, March 30, 2025, March 30, 2026, and March 30, 2027. The RSUs are subject to forfeiture prior to vesting in accordance with the terms of the 2022 Plan and the award agreement.
10. Each RSU represents a contingent right to receive one Ordinary Share of LivaNova PLC, GBP 1.00 par value, in accordance with the terms of the LivaNova PLC 2015 Incentive Award Plan (the "2015 Plan") and the award agreement.
11. The reporting person was granted 1,828 RSUs on December March 30, 2022, subject to a four-year vesting schedule, which began on March 30, 2023. The remaining unvested RSUs reported here vest 25% on March 30, 2024, March 30, 2025, and March 30, 2026. The RSUs are subject to forfeiture prior to vesting in accordance with the terms of the 2015 Plan and the award agreement.
12. The reporting person was granted 1,706 RSUs on December March 30, 2021, subject to a four-year vesting schedule, which began on March 30, 2022. The remaining unvested RSUs reported here vest 25% on March 30, 2024, and on March 30, 2025. The RSUs are subject to forfeiture prior to vesting in accordance with the terms of the 2015 Plan and the award agreement.
13. The reporting person was granted 2,295 RSUs on December March 30, 2020, subject to a four-year vesting schedule, which began on March 30, 2021. The remaining unvested RSUs reported here vest 25% on March 30, 2024. The RSUs are subject to forfeiture prior to vesting in accordance with the terms of the 2015 Plan and the award agreement.
14. Each performance stock unit (PSU) represents a contingent right to receive one Ordinary Share of the Company in accordance with the terms of the 2022 Plan and the terms of the award agreement.
15. On March 30, 2023, reporting person was granted PSUs to vest or lapse on March 30, 2026 based on how the Company's free cash flow (FCF) for performance period 2023-2025 compared to a target determined by the 2022 Plan Administrator. The number included in column 3 of Table II reflects the target number of PSUs eligible for vesting subject to continued service during the vesting period and the award agreement.
16. On March 30, 2023, reporting person was granted PSUs to vest or lapse on March 30, 2026 based on how the Company's Return on Investment Capital (ROIC) calculated for the performance period 2023-2025 compares to a target determined by the 2022 Plan Administrator. The number included in column 3 of Table II reflects the target number of PSUs eligible for vesting subject to continued service during the vesting period and the award agreement.
17. On March 30, 2023, reporting person was granted PSUs to vest or lapse on March 30, 2026 based on the Company's total shareholder return (TSR) for the three-year period beginning on January 1, 2023 and ending December 31, 2025 relative to the total shareholder return of a peer group of companies, as determined by the 2022 Plan Administrator. The number included in column 3 of Table II reflects the target number of PSUs eligible for vesting subject to continued service during the vesting period and the award agreement.
18. Each PSU represents a contingent right to receive one Ordinary Share of the Company in accordance with the terms of the 2015 Plan and the terms of the award agreement.
19. On March 30, 2022, reporting person was granted PSUs to vest or lapse on March 30, 2025 based on how the Company's free cash flow (FCF) for performance period January 1, 2022 to December 31, 2024 compares to a target determined by the 2015 Plan Administrator. The number included in column 3 of Table II reflects the target number of PSUs eligible for vesting subject to continued service during the vesting period and the award agreement.
20. On March 30, 2022, reporting person was granted PSUs to vest or lapse on March 30, 2025 based on how the Company's Return on Investment Capital (ROIC) calculated for the performance period 2022-2024 compares to a target determined by the 2015 Plan Administrator. The number included in column 3 of Table II reflects the target number of PSUs eligible for vesting subject to continued service during the vesting period and the award agreement.
21. On March 30, 2022, reporting person was granted PSUs to vest or lapse on March 30, 2025 based on the Company's total shareholder return (TSR) for the three-year period beginning on January 1, 2022 and ending December 31, 2024 relative to the total shareholder return of a peer group of companies, as determined by the 2015 Plan Administrator. The number included in column 3 of Table II reflects the target number of PSUs eligible for vesting subject to continued service during the vesting period and the award agreement.
22. On March 30, 2021, reporting person was granted PSUs to vest or lapse on March 30, 2024 based on how the Company's free cash flow (FCF) for performance period of 2021 compares to a target determined by the 2015 Plan Administrator. The number included in column 3 of Table II reflects the target number of PSUs eligible for vesting subject to continued service during the vesting period and the award agreement.
23. On March 30, 2021, reporting person was granted PSUs to vest or lapse on March 30, 2024 based on how the Company's Return on Investment Capital (ROIC) calculated for the performance period of 2021 compares to a target determined by the 2015 Plan Administrator. The number included in column 3 of Table II reflects the target number of PSUs eligible for vesting subject to continued service during the vesting period and the award agreement.
24. On March 30, 2021, reporting person was granted PSUs to vest or lapse on March 30, 2024 based on the Company's total shareholder return (TSR) for the three-year period beginning on January 1, 2021 and ending December 31, 2023 relative to the total shareholder return of a peer group of companies, as determined by the 2015 Plan Administrator. The number included in column 3 of Table II reflects the target number of PSUs eligible for vesting subject to continued service during the vesting period and the award agreement.
25. Reporting person was granted an award of stock options. These stock options were previously issued to the reporting person under the Cyberonics, Inc. 2009 Stock Plan and converted to LivaNova PLC stock options under the 2015 Plan on October 18, 2015. All options are vested and exercisable.
Remarks:
Exhibit List: Ex 24 - Power of Attorney
/s/ Sarah K. Mohr, Attorney-in-Fact 03/11/2024
** 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).
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