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*
Sabag Mark

(Last) (First) (Middle)
C/O TEVA PHARMACEUTICAL INDUSTRIES LTD.
5 BASEL STREET

(Street)
PETACH TIKVA L3 4951033

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/06/2018
3. Issuer Name and Ticker or Trading Symbol
TEVA PHARMACEUTICAL INDUSTRIES LTD [ TEVA ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP, Global Human Resources
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)
Ordinary Shares(1) 46,566.5421 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
Stock Options (right to buy) (2) 11/06/2021 Ordinary Shares(1) 4,001 $41.72 D
Stock Options (right to buy) (3) 02/23/2022 Ordinary Shares(1) 3,201 $44.59 D
Stock Options (right to buy) (4) 12/12/2022 Ordinary Shares(1) 4,501 $38.84 D
Stock Options (right to buy) (5) 02/23/2023 Ordinary Shares(1) 4,502 $38.08 D
Stock Options (right to buy) (6) 11/10/2023 Ordinary Shares(1) 100,002 $37.26 D
Stock Options (right to buy) (7) 03/11/2024 Ordinary Shares(1) 73,933 $48.76 D
Stock Options (right to buy) (8) 02/11/2025 Ordinary Shares(1) 67,035 $57.35 D
Stock Options (right to buy) (9) 02/11/2026 Ordinary Shares(1) 64,940 $55.75 D
Stock Options (right to buy) (10) 02/14/2027 Ordinary Shares(1) 90,710 $34.9 D
Restricted Share Units (11) (11) Ordinary Shares(1) 17,132 (12) D
Explanation of Responses:
1. The Ordinary Shares may be represented by American Depositary Shares, each of which currently represents one Ordinary Share.
2. Stock options were granted on November 7, 2011 and vested on November 7, 2015.
3. Stock options were granted on February 24, 2012 and vested on February 24, 2016.
4. Stock options were granted on December 13, 2012 and vested on December 13, 2015.
5. Stock options were granted on February 24, 2013 and vested on February 24, 2016.
6. Stock options were granted on November 11, 2013, with 33,334 having vested on each of November 11, 2015, November 11, 2016 and November 11, 2017.
7. Stock options were granted on March 12, 2014, with 24,644 having vested on each of March 12, 2016 and March 12, 2017 and 24,645 vesting on March 12, 2018.
8. Stock options were granted on February 12, 2015, with 22,345 having vested on each of February 12, 2017 and February 12, 2018, and 22,345 vesting on February 12, 2019.
9. Stock options were granted on February 12, 2016, with 21,646 having vested on February 12, 2018, 21,646 vesting February 12, 2019 and 21,648 vesting on February 12, 2020.
10. Stock options were granted on February 14, 2017, with 30,236 vesting on each of February 14, 2019 and February 14, 2020 and 30,238 vesting on February 14, 2021.
11. Restricted share units were granted on February 14, 2017, with 5,710 vesting on each of February 14, 2019 and February 14, 2020 and 5,712 vesting on February 14, 2021.
12. Each restricted share unit represents a contingent right to receive, at settlement, one ordinary share or, at the option of the Human Resources and Compensation Committee, the cash value of one ordinary share.
Remarks:
Exhibit List Exhibit 24 - Power of Attorney
/s/ Dov Bergwerk, as attorney-in-fact for Mark Sabag 02/12/2018
** 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.