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