0001140361-17-046096.txt : 20171213 0001140361-17-046096.hdr.sgml : 20171213 20171213173828 ACCESSION NUMBER: 0001140361-17-046096 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171211 FILED AS OF DATE: 20171213 DATE AS OF CHANGE: 20171213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SARIN ARUN CENTRAL INDEX KEY: 0001188405 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18225 FILM NUMBER: 171254716 MAIL ADDRESS: STREET 1: C/O SAFEWAY INC. STREET 2: 5918 STONERIDGE MALL ROAD CITY: PLEASANTON STATE: CA ZIP: 94588 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CISCO SYSTEMS, INC. CENTRAL INDEX KEY: 0000858877 STANDARD INDUSTRIAL CLASSIFICATION: COMPUTER COMMUNICATIONS EQUIPMENT [3576] IRS NUMBER: 770059951 STATE OF INCORPORATION: CA FISCAL YEAR END: 0730 BUSINESS ADDRESS: STREET 1: 170 WEST TASMAN DR CITY: SAN JOSE STATE: CA ZIP: 95134-1706 BUSINESS PHONE: 4085264000 MAIL ADDRESS: STREET 1: 170 WEST TASMAN DR CITY: SAN JOSE STATE: CA ZIP: 95134-1706 FORMER COMPANY: FORMER CONFORMED NAME: CISCO SYSTEMS INC DATE OF NAME CHANGE: 19920703 4 1 doc1.xml FORM 4 X0306 4 2017-12-11 0 0000858877 CISCO SYSTEMS, INC. CSCO 0001188405 SARIN ARUN 170 WEST TASMAN DRIVE SAN JOSE CA 95134 1 0 0 0 Common Stock 2017-12-11 4 A 0 5663 0 A 58094 D Common Stock 14189 I by Family Trust Represents a fully vested deferred restricted stock unit award covering shares which will settle in shares on, or as soon as practicable after, the reporting person's "separation from service" to Cisco within the meaning of Section 409A of the Internal Revenue Code. Includes 535 dividend equivalents accrued on vested deferred restricted stock units. Each dividend equivalent is the economic equivalent of one share of Cisco common stock. /s/ Arun Sarin by Evan Sloves, Attorney-in-Fact 2017-12-13