0001567619-19-022133.txt : 20191122 0001567619-19-022133.hdr.sgml : 20191122 20191122192722 ACCESSION NUMBER: 0001567619-19-022133 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191120 FILED AS OF DATE: 20191122 DATE AS OF CHANGE: 20191122 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tan Irving CENTRAL INDEX KEY: 0001729518 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18225 FILM NUMBER: 191242906 MAIL ADDRESS: STREET 1: 170 WEST TASMAN DRIVE CITY: SAN JOSE STATE: CA ZIP: 95134 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: 0725 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 2019-11-20 0 0000858877 CISCO SYSTEMS, INC. CSCO 0001729518 Tan Irving 170 WEST TASMAN DRIVE SAN JOSE CA 95134 0 1 0 0 EVP, Chief of Operations Common Stock 2019-11-20 4 A 0 38722 0 A 210921 D Common Stock 2019-11-20 4 F 0 31241 45.47 D 179680 D Represents settlement of a performance-based restricted stock unit ("PRSU") award granted on September 21, 2016 resulting from the satisfaction of performance metrics during the three-year performance period. Represents shares withheld for payment of tax liability arising as a result of the settlement of the PRSU described in footnote 1 and the partial settlement of two (2) restricted stock unit awards originally reported by the reporting person in a Form 3 filed with the Commission on February 1, 2018. /s/ Irving Tan by Evan Sloves, Attorney-in-Fact 2019-11-22