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
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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).
1. Name and Address of Reporting Person*
Samath Jamie

(Last) (First) (Middle)
1020 KIFER ROAD

(Street)
SUNNYVALE CA 94086

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
INTUITIVE SURGICAL INC [ ISRG ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP & Principal Accounting Offi
3. Date of Earliest Transaction (Month/Day/Year)
10/24/2017
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
Common Stock 10/24/2017 M 474 A $238.9133 474(1) D
Common Stock 10/24/2017 S(2) 474 D $371.1863 0(1) D
Common Stock 10/24/2017 M 104 A $230.9967 104(1) D
Common Stock 10/24/2017 S(2) 104 D $371.1863 0(1) D
Common Stock 10/24/2017 M 108 A $178.3867 108(1) D
Common Stock 10/24/2017 S(2) 108 D $371.1863 0(1) D
Common Stock 10/24/2017 M 145 A $177.6833 145(1) D
Common Stock 10/24/2017 S(2) 145 D $371.1863 0(1) D
Common Stock 10/24/2017 M 148 A $171.3333 148(1) D
Common Stock 10/24/2017 S(2) 148 D $371.1863 0(1) D
Common Stock 10/24/2017 M 292 A $153.0467 292(1) D
Common Stock 10/24/2017 S(2) 292 D $371.1863 0(1) D
Common Stock 10/24/2017 M 293 A $148.03 293(1) D
Common Stock 10/24/2017 S(2) 293 D $371.1863 0(1) 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
Non-Qualified Stock Option (right to buy) $148.03 10/24/2017 M 293 (3) 02/18/2024 Common Stock 293 $0.0 391(1) D
Non-Qualified Stock Option (right to buy) $153.0467 10/24/2017 M 292 (4) 08/15/2024 Common Stock 292 $0.0 392(1) D
Non-Qualified Stock Option (right to buy) $171.3333 10/24/2017 M 148 (3) 02/17/2025 Common Stock 148 $0.0 788(1) D
Non-Qualified Stock Option (right to buy) $177.6833 10/24/2017 M 145 (4) 08/17/2025 Common Stock 145 $0.0 788(1) D
Non-Qualified Stock Option (right to buy) $178.3867 10/24/2017 (1) M 108 (3) 02/16/2026 Common Stock 108 $0.0 984 D
Non-Qualified Stock Option (right to buy) $230.9967 10/24/2017 M 104 (4) 08/15/2026 Common Stock 104 $0.0 985(1) D
Non-Qualified Stock Option (right to buy) $238.9133 10/24/2017 M 474 (3) 02/15/2027 Common Stock 474 $0.0 2,376(1) D
Explanation of Responses:
1. On October 6, 2017, the common stock and equity grants of Intuitive Surgical split 3-for-1, resulting in the reporting person's ownership of the company's stock and equity grants to increase (for every one share owned or granted, 2 additional shares were issued) and the exercise price of stock option grants to decrease to 1/3rd of the original grant price.
2. These shares were sold pursuant to a Rule 10b5-1 Trading Plan, entered into on May 5, 2017.
3. Non-statutory stock option granted pursuant to the 2010 Employee Stock Option Plan. The option vests 1/8th six months after the date of grant and 1/48th monthly thereafter.
4. Non-statutory stock option granted pursuant to the 2010 Employee Stock Option Plan. Option shall vest 7/48 one month after the date of grant and 1/48th each month thereafter.
Jamie Samath 10/24/2017
** 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).
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