0001127602-21-029619.txt : 20211118 0001127602-21-029619.hdr.sgml : 20211118 20211118211724 ACCESSION NUMBER: 0001127602-21-029619 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211116 FILED AS OF DATE: 20211118 DATE AS OF CHANGE: 20211118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ancher-Jensen Henrik CENTRAL INDEX KEY: 0001592501 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15405 FILM NUMBER: 211426180 MAIL ADDRESS: STREET 1: 5301 STEVENS CREEK BLVD. CITY: SANTA CLARA STATE: CA ZIP: 95051 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AGILENT TECHNOLOGIES, INC. CENTRAL INDEX KEY: 0001090872 STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826] IRS NUMBER: 770518772 STATE OF INCORPORATION: DE FISCAL YEAR END: 1031 BUSINESS ADDRESS: STREET 1: 5301 STEVENS CREEK BLVD CITY: SANTA CLARA STATE: CA ZIP: 95051 BUSINESS PHONE: (408) 345-8886 MAIL ADDRESS: STREET 1: 5301 STEVENS CREEK BLVD, MS 1A-LC STREET 2: P.O. BOX 58059 CITY: SANTA CLARA STATE: CA ZIP: 95052-8059 FORMER COMPANY: FORMER CONFORMED NAME: AGILENT TECHNOLOGIES INC DATE OF NAME CHANGE: 19990816 FORMER COMPANY: FORMER CONFORMED NAME: HP MEASUREMENT INC DATE OF NAME CHANGE: 19990716 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2021-11-16 0001090872 AGILENT TECHNOLOGIES, INC. A 0001592501 Ancher-Jensen Henrik 5301 STEVENS CREEK BLVD SANTA CLARA CA 95051 1 Sr Vice President Common Stock 2021-11-16 4 A 0 3181 161.39 A 78384.3623 D Common Stock 2021-11-16 4 A 0 19242 161.39 A 97626.3623 D Common Stock 2021-11-16 4 F 0 9912 161.39 D 87714.3623 D Employee Stock Option (Right to Buy) 161.39 2021-11-16 4 A 0 9628 161.39 A 2022-11-16 2031-11-16 Common Stock 9628 9628 D Restricted Stock Units granted under the Agilent Technologies, Inc. 2018 Stock Plan, in compliance with Rule 16b-3. The restricted stock units vest in four equal annual installments beginning on November 16, 2022 and are subject to a 1 year post-vest holding period. On November 16, 2021, 19,242 shares of common stock of Agilent Technologies, Inc. were issued to the reporting person pursuant to the Agilent Technologies, Inc. Long-Term Performance Program. The shares are subject to a 1 year post-vest holding period. The reporting person surrendered 9,912 shares to Agilent Technologies, Inc. to satisfy the tax liability on the vesting of restricted stock units in accordance with Rule 16b-3. Right to buy Agilent Technologies, Inc. common stock granted under the Agilent Technologies, Inc. 2018 Stock Plan, in compliance with Rule 16b-3. The option is exercisable in four equal annual installments beginning on the first anniversary of the date of the grant. The first vesting date is stated. /s/ P. Diana Chiu, attorney-in-fact for Mr. Ancher-Jensen 2021-11-18