0001639691-17-000075.txt : 20170808
0001639691-17-000075.hdr.sgml : 20170808
20170808195217
ACCESSION NUMBER: 0001639691-17-000075
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170805
FILED AS OF DATE: 20170808
DATE AS OF CHANGE: 20170808
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Novak Alfred J
CENTRAL INDEX KEY: 0001388862
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37599
FILM NUMBER: 171016147
MAIL ADDRESS:
STREET 1: 325 NE 6TH ST
CITY: BOCA RATON
STATE: FL
ZIP: 33432
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: LivaNova PLC
CENTRAL INDEX KEY: 0001639691
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
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
wf-form4_150223632299871.xml
FORM 4
X0306
4
2017-08-05
0
0001639691
LivaNova PLC
LIVN
0001388862
Novak Alfred J
20 EASTBOURNE TERRACE
LONDON
X0
W2 6LG
UNITED KINGDOM
1
0
0
0
Common Stock
2017-08-05
4
M
0
3327
0
A
15347
D
Common Stock
2017-08-05
4
F
0
1497
60.41
D
13850
D
Restricted Stock Units
2017-08-05
4
M
0
3327
0
D
Common Stock
3327.0
0
D
Reporting person was granted restricted stock units ("RSUs") settled in ordinary share of LivaNova PLC (the "Company"), GBP 1.00 par value.
The referenced shares were withheld from distribution at the request of reporting person. Such shares were forfeited and the associated value was used to offset the tax liability associated with the August 5, 2017 vesting of 3,327 RSUs.
On August 5, 2016, reporting person was granted RSUs that vested and all forfeiture restrictions thereon lapsed on August 5, 2017.
/s/ Sarah K. Mohr as POA
2017-08-08