0001209191-15-038486.txt : 20150504 0001209191-15-038486.hdr.sgml : 20150504 20150504170417 ACCESSION NUMBER: 0001209191-15-038486 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150501 FILED AS OF DATE: 20150504 DATE AS OF CHANGE: 20150504 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HeartWare International, Inc. CENTRAL INDEX KEY: 0001389072 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 980498958 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 500 OLD CONNECTICUT PATH CITY: FRAMINGHAM STATE: MA ZIP: 01701 BUSINESS PHONE: 508-739-0873 MAIL ADDRESS: STREET 1: 500 OLD CONNECTICUT PATH CITY: FRAMINGHAM STATE: MA ZIP: 01701 FORMER COMPANY: FORMER CONFORMED NAME: HeartWare LTD DATE OF NAME CHANGE: 20070206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LARKIN C RAYMOND JR CENTRAL INDEX KEY: 0001034464 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34256 FILM NUMBER: 15829332 MAIL ADDRESS: STREET 1: C/O MALLINCKRODT INC STREET 2: 7733 FORSYTH BLVD CITY: ST LOUIS STATE: MO ZIP: 63105 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-05-01 0 0001389072 HeartWare International, Inc. HTWR 0001034464 LARKIN C RAYMOND JR C/O HEARTWARE INTERNATIONAL, INC. 500 OLD CONNECTICUT PATH FRAMINGHAM MA 01701 1 0 0 0 Common Stock 2015-05-01 4 M 0 250 0.00 A 5000 D Common Stock 2015-05-01 4 M 0 250 0.00 A 5250 D Common Stock 2015-05-01 4 M 0 1000 0.00 A 6250 D Restricted Stock Unit 2015-05-01 4 M 0 250 0.00 D 2015-05-01 2015-05-01 Common Stock 250 2250 D Restricted Stock Unit 2015-05-01 4 M 0 250 0.00 D 2015-05-01 2015-05-01 Common Stock 250 2000 D Restricted Stock Unit 2015-05-01 4 M 0 1000 0.00 D 2015-05-01 2015-05-01 Common Stock 1000 1000 D Each restricted stock unit represents a contingent right to receive one share of the Company's common stock. /s/ Larry Knopf as Attorney-in-Fact 2015-05-04