0001639691-24-000028.txt : 20240304 0001639691-24-000028.hdr.sgml : 20240304 20240304172245 ACCESSION NUMBER: 0001639691-24-000028 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240229 FILED AS OF DATE: 20240304 DATE AS OF CHANGE: 20240304 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOZY WILLIAM A CENTRAL INDEX KEY: 0001221785 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37599 FILM NUMBER: 24715941 MAIL ADDRESS: STREET 1: C/O BECTON DICKERSON & CO STREET 2: 1 BECTON DR CITY: FRANKLIN LAKES STATE: NJ ZIP: 07417 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LivaNova PLC CENTRAL INDEX KEY: 0001639691 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 981268150 STATE OF INCORPORATION: X0 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 20 EASTBOURNE TERRACE CITY: LONDON STATE: X0 ZIP: W2 6LG BUSINESS PHONE: 4402033250662 MAIL ADDRESS: STREET 1: 20 EASTBOURNE TERRACE CITY: LONDON STATE: X0 ZIP: W2 6LG FORMER COMPANY: FORMER CONFORMED NAME: Sand Holdco Plc DATE OF NAME CHANGE: 20150420 FORMER COMPANY: FORMER CONFORMED NAME: Sand Holdco Ltd DATE OF NAME CHANGE: 20150415 4 1 wk-form4_1709590946.xml FORM 4 X0508 4 2024-02-29 0 0001639691 LivaNova PLC LIVN 0001221785 KOZY WILLIAM A 20 EASTBOURNE TERRACE LONDON X0 W2 6LG UNITED KINGDOM 1 1 0 0 Chairman and CEO 0 Ordinary Shares 2024-02-29 4 M 0 14512 0 A 32333 D Ordinary Shares 2024-02-29 4 F 0 4871 54.81 D 27462 D Restricted Stock Units 2024-02-29 4 M 0 14512 54.81 D Ordinary Shares 14512 0 D Reporting person had vested restricted stock units (RSUs) settled in ordinary shares of LivaNova PLC (the Company), GBP 1.00 par value. The referenced shares were withheld from distribution to satisfy tax liability. Each RSU represents a contingent right to receive one ordinary share of 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. On December 15, 2023, reporting person was granted RSUs to vest and forfeiture restrictions thereon to lapse upon the earlier of (i) the commencement of employment of a successor Chief Executive Officer and (ii) April 13, 2024, subject to Mr. Kozy's continued employment through such vesting date. /s/ Sarah K. Mohr, POA 2024-03-04