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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Employee Stock Option - Right to Buy | $ 27.45 | 03/01/2019 | A | 60,053 | (4) | 03/01/2029 | Ordinary Shares | 60,053 | $ 0 | 60,053 | D | ||||
Restricted Stock Units | $ 0 | 03/01/2019 | A | 100,547 | (5) | (5) | Ordinary Shares | 100,547 | $ 0 | 100,547 | D | ||||
Restricted Stock Units | $ 0 | 03/02/2019 | M | 14,645 | (6) | (6) | Ordinary Shares | 14,645 | $ 0 | 29,290 | D | ||||
Restricted Stock Units | $ 0 | 03/03/2019 | M | 12,395 | (7) | (7) | Ordinary Shares | 12,395 | $ 0 | 12,395 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Malik Rajiv BUILDING 4, TRIDENT PLACE, MOSQUITO WAY HATFIELD, HERTFORDSHIRE, X0 AL10 9UL |
X | President |
/s/ Kevin Macikowski, by power of attorney | 03/05/2019 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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). |
(1) | Represents forfeiture of unvested restricted ordinary shares received under the One-Time Special Performance-Based Five-Year Realizable Value Incentive Program as a result of the applicable performance conditions not having been met. |
(2) | Represents withholding of ordinary shares for the tax liability associated with the vesting and settlement of a portion of the restricted stock units (RSUs) granted on March 2, 2018. |
(3) | Represents withholding of ordinary shares for the tax liability associated with the vesting and settlement of a portion of the RSUs granted on March 3, 2017. |
(4) | 20,018 of the options will vest on March 2, 2020, 20,017 will vest on March 2, 2021, and 20,018 will vest on March 2, 2022. The options expire on March 1, 2029. |
(5) | Each RSU represents the right to receive one ordinary share of Mylan N.V. 33,516 of the RSUs will vest on March 2, 2020, 33,515 will vest on March 2, 2021, and 33,516 will vest on March 2, 2022. |
(6) | Each RSU represents the right to receive one ordinary share of Mylan N.V. 14,645 of the RSUs granted on March 2, 2018 vested on March 2, 2019, and 14,645 will vest on each of March 2, 2020 and March 2, 2021. |
(7) | Each RSU represents the right to receive one ordinary share of Mylan N.V. 12,395 of the RSUs granted on March 3, 2017 vested on each of March 3, 2018 and March 3, 2019, and 12,395 will vest on March 3, 2020. |