0001214659-21-011053.txt : 20211102 0001214659-21-011053.hdr.sgml : 20211102 20211102160348 ACCESSION NUMBER: 0001214659-21-011053 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210929 FILED AS OF DATE: 20211102 DATE AS OF CHANGE: 20211102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LEVINE JOSHUA CENTRAL INDEX KEY: 0001159917 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33301 FILM NUMBER: 211371146 MAIL ADDRESS: STREET 1: 1310 CHESAPEAKE TERRACE CITY: SUNNYVALE STATE: CA ZIP: 94089 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ACCURAY INC CENTRAL INDEX KEY: 0001138723 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 208370041 FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 1310 CHESAPEAKE TERRACE CITY: SUNNYVALE STATE: CA ZIP: 94089 BUSINESS PHONE: 4087164600 MAIL ADDRESS: STREET 1: 1310 CHESAPEAKE TERRACE CITY: SUNNYVALE STATE: CA ZIP: 94089 4 1 marketforms-54133.xml PRIMARY DOCUMENT X0306 4 2021-09-29 0001138723 ACCURAY INC ARAY 0001159917 LEVINE JOSHUA 1310 CHESAPEAKE TERRACE SUNNYVALE CA 94089 true true false false CEO Common Stock 2021-09-29 4 A false 250501 0 A 1338981 D Common Stock 2021-09-29 4 A false 250501 0 A 1589482 D This represents a Restricted Stock Unit grant on 10/29/21 that vest 1/3 annually over 3 years from grant date subject to continuous employment. This represents a Performance Stock Unit grant on 10/29/21 with a performance end-date of 06/30/2024. The maximum payout potential is 150% and subject to continuous employment. The metrics weighting consisting of 75% company revenue and 25% EBIDTA Margin. /s/ Brandy Green, Power of Attorney for Joshua Levine 2021-11-02