0001127602-11-029636.txt : 20111115 0001127602-11-029636.hdr.sgml : 20111115 20111115170006 ACCESSION NUMBER: 0001127602-11-029636 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111111 FILED AS OF DATE: 20111115 DATE AS OF CHANGE: 20111115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GUERTIN TIMOTHY E CENTRAL INDEX KEY: 0001217440 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07598 FILM NUMBER: 111207860 MAIL ADDRESS: STREET 1: C/O VARIAN MEDICAL SYSTEMS, INC STREET 2: 3100 HANSEN WAY M/S E-327 CITY: PALO ALTO STATE: CA ZIP: 94304 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VARIAN MEDICAL SYSTEMS INC CENTRAL INDEX KEY: 0000203527 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 942359345 STATE OF INCORPORATION: DE FISCAL YEAR END: 1001 BUSINESS ADDRESS: STREET 1: 3100 HANSEN WAY CITY: PALO ALTO STATE: CA ZIP: 94304-1000 BUSINESS PHONE: 650-424-5834 MAIL ADDRESS: STREET 1: 3100 HANSEN WAY CITY: PALO ALTO STATE: CA ZIP: 94304-1000 FORMER COMPANY: FORMER CONFORMED NAME: VARIAN ASSOCIATES INC /DE/ DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: VARIAN DELAWARE INC DATE OF NAME CHANGE: 19761123 4 1 form4.xml PRIMARY DOCUMENT X0304 4 2011-11-11 0000203527 VARIAN MEDICAL SYSTEMS INC VAR 0001217440 GUERTIN TIMOTHY E C/O VARIAN MEDICAL SYSTEMS 3100 HANSEN WAY, MAIL STOP E-327 PALO ALTO CA 94304-1030 1 President and CEO Non Qualified Stock Option (Right to Buy) 57.90 2011-11-11 4 A 0 100000 0 A 2018-11-11 Common Stock 100000 100000 D Restricted Stock Units 2011-11-11 4 A 0 30416 0 A Common Stock 30416 52639 D Stock option granted under the Varian Medical Systems, Inc. Second Amended and Restated 2005 Omnibus Stock Plan, which complies with Rule 16b-3. The option vests as follows: one third on 11/11/2012, and the remaining shares in 24 equal installments over the 24 months following the first vesting date. Each restricted stock unit represents a contingent right to receive one share of VAR common stock. The restricted stock units vest in three equal installments on November 21, 2012, November 21, 2013, and November 21, 2014. Vested shares will be delivered to the reporting person on vest date. /s/ John W. Kuo, Attorney in Fact for Timothy E. Guertin 2011-11-15