0001639691-24-000003.txt : 20240103 0001639691-24-000003.hdr.sgml : 20240103 20240103161446 ACCESSION NUMBER: 0001639691-24-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231231 FILED AS OF DATE: 20240103 DATE AS OF CHANGE: 20240103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Saia Andrea Lynn CENTRAL INDEX KEY: 0001552993 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37599 FILM NUMBER: 24506535 MAIL ADDRESS: STREET 1: C/O COCA-COLA ENTERPRISES, INC. STREET 2: 2500 WINDY RIDGE PARKWAY, NW, 14TH FLOOR CITY: ATLANTA STATE: GA ZIP: 30339 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_1704316464.xml FORM 4 X0508 4 2023-12-31 1 0001639691 LivaNova PLC LIVN 0001552993 Saia Andrea Lynn 20 EASTBOURNE TERRACE LONDON X0 W2 6LG UNITED KINGDOM 1 0 0 0 0 Ordinary Shares 2023-12-31 4 M 0 1468 0 A 11113 D Ordinary Shares 2023-12-31 4 F 0 314 51.74 D 10799 D Restricted Stock Units 2023-12-31 4 M 0 1468 0 D Ordinary Shares 1468 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 2015 Incentive Award Plan (the Plan) and the award agreement. On June 15, 2023, reporting person was granted RSUs to vest and forfeiture restrictions thereon to lapse on June 15, 2024, subject to continued service during the vesting period and the RSU Agreement. The service of the reporting persons ceased on December 31, 2023, and, per section 2.2(b) of the grant notice, the reporting person received 1,468 ordinary shares and the remaining 1,212 RSUs were forfeited. This number reflects the number of derivative securities beneficially owned following reported transaction for this specific grant. /s/ Sarah K. Mohr, POA 2024-01-03