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*
Hauser Bradley

(Last) (First) (Middle)
C/O ZELTIQ AESTHETICS, INC.
4698 WILLOW ROAD, SUITE 100

(Street)
PLEASANTON CA 94588

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/08/2016
3. Issuer Name and Ticker or Trading Symbol
Zeltiq Aesthetics Inc [ ZLTQ ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP, Research and Development
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)
Common Stock 10,000(1) D
Common Stock 1,496(2) D
Common Stock 3,045(3) D
Common Stock 8,333(4) D
Common Stock 10,056(5) D
Common Stock 4,304 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
Employee Stock Option (right to buy) (6) 12/18/2023 Common Stock 35,000 $17.3 D
Explanation of Responses:
1. The restricted stock units (the "RSUs") vest in four equal annual installments beginning on the first anniversary of December 5, 2013. Vested shares will be delivered to the Reporting Person upon vesting of the RSUs.
2. The RSUs vest in four equal annual installments beginning on the first anniversary of November 1, 2014. Vested shares will be delivered to the Reporting Person upon vesting of the RSUs.
3. The RSUs vest in four equal annual installments beginning on the first anniversary of March 14, 2015. Vested shares will be delivered to the Reporting Person upon vesting of the RSUs.
4. The RSUs vest in four equal annual installments beginning on the first anniversary of July 1, 2015. Vested shares will be delivered to the Reporting Person upon vesting of the RSUs.
5. The RSUs vest in four equal annual installments beginning on the first anniversary of September 11, 2015. Vested shares will be delivered to the Reporting Person upon vesting of the RSUs.
6. 25% of the total number of shares subject to the option vested on December 5, 2014, and the remainder vest in equal monthly installments over a 36 month period thereafter, subject to the Reporting Person's continued service to the Issuer.
Remarks:
/s/ Sergio Garcia, Attorney-in-Fact 01/14/2016
** 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.