0001127602-19-006981.txt : 20190219 0001127602-19-006981.hdr.sgml : 20190219 20190219193514 ACCESSION NUMBER: 0001127602-19-006981 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190214 FILED AS OF DATE: 20190219 DATE AS OF CHANGE: 20190219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOMSEN MAGNUS CENTRAL INDEX KEY: 0001695593 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07598 FILM NUMBER: 19616788 MAIL ADDRESS: STREET 1: VARIAN MEDICAL SYSTEMS INC. STREET 2: 3100 HANSEN WAY MAIL STOP E327 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: 0929 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 X0306 4 2019-02-14 0000203527 VARIAN MEDICAL SYSTEMS INC VAR 0001695593 MOMSEN MAGNUS C/O VARIAN MEDICAL SYSTEMS, INC. 3100 HANSEN WAY, MS E327 PALO ALTO CA 94304 1 SVP, CAO, Corporate Controller Non Qualified Stock Option (Right to Buy) 131.77 2019-02-14 4 A 0 3429 0 A 2026-02-14 Common Stock 3429 3429 D Restricted Stock Units 2019-02-14 4 A 0 759 0 A Common Stock 759 4808 D Stock option granted under the Varian Medical Systems, Inc. Fifth Amended and Restated 2005 Omnibus Stock Plan which complies with Rule 16b-3. The option vests as follows: one third on February 14, 2020, 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 February 14, 2020, February 14, 2021, and February 14, 2022. Vested shares will be delivered to the reporting person on vest date. /s/ Michael B. Dunn, attorney-in-fact for Magnus Momsen 2019-02-19