SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Bourque Michael J.

(Last) (First) (Middle)
C/O ANALOGIC CORPORATION
8 CENTENNIAL DRIVE

(Street)
PEABODY MA 01960

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/01/2016
3. Issuer Name and Ticker or Trading Symbol
ANALOGIC CORP [ ALOG ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
Officer (give title below) X Other (specify below)
VP, Corporate Controller
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 287 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units (1) (1) Common Stock 457 $0.00 D
Restricted Stock Units (2) (2) Common Stock 919 $0.00 D
Restricted Stock Units (3) (3) Common Stock 490 $0.00 D
Restricted Stock Units (4) (4) Common Stock 865 $0.00 D
Restricted Stock Units (5) (5) Common Stock 396 $0.00 D
Restricted Stock Units (6) (6) Common Stock 381 $0.00 D
Restricted Stock Units (7) (7) Common Stock 676 $0.00 D
Restricted Stock Units (8) (8) Common Stock 450 $0.00 D
Explanation of Responses:
1. The time-based Restricted Stock Units ("RSUs") will cliff vest on July 31, 2019. On that date, the RSU's will be converted to common stock and a like number of shares will be issued to the grantee.
2. The number of RSUs represent the target number of RSUs that may be earned based on the achievement of certain performance criteria. The actual number of RSUs awarded may vary between 0 and twice the target, depending on the Company's performance. The performance period will end on July 31, 2019. As soon as reasonably practicable thereafter, a determination will be made as to whether and to what extent the performance criteria has been met. If such criteria has been met, the RSUs earned will be converted to common stock and a like number of shares will be issued to the grantee.
3. The time-based RSUs will cliff vest on July 31, 2018. On that date, the RSU's will be converted to common stock and a like number of shares will be issued to the grantee.
4. The number of RSUs represent the target number of RSUs that may be earned based on the achievement of certain performance criteria. The actual number of RSUs awarded may vary between 0 and twice the target, depending on the Company's performance. The performance period will end on July 31, 2018. As soon as reasonably practicable thereafter, a determination will be made as to whether and to what extent the performance criteria has been met. If such criteria has been met, the RSUs earned will be converted to common stock and a like number of shares will be issued to the grantee.
5. The time-based RSU's will vest in two equal installments beginning on 9/10/2017.
6. The time-based RSUs will cliff vest on July 31, 2017. On that date, the RSU's will be converted to common stock and a like number of shares will be issued to the grantee.
7. The 676 performance-based RSUs represent the target number of RSUs that may be earned based on the achievement of certain performance criteria. The actual number of RSUs awarded may vary between 0 and twice the target, depending on the Company's performance. The performance period will end on July 31, 2017. As soon as reasonably practicable thereafter, a determination will be made as to whether and to what extent the performance criteria has been met. If such criteria has been met, the RSUs earned will be converted to common stock and a like number of shares will be issued to the grantee.
8. The time-based RSU's will vest in two equal installments beginning on 12/4/2016.
Remarks:
By: John J. Fry by Power of Attorney For: Michael Bourque 12/07/2016
** 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 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.