0001639691-23-000104.txt : 20231017 0001639691-23-000104.hdr.sgml : 20231017 20231017200128 ACCESSION NUMBER: 0001639691-23-000104 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231014 FILED AS OF DATE: 20231017 DATE AS OF CHANGE: 20231017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOZY WILLIAM A CENTRAL INDEX KEY: 0001221785 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37599 FILM NUMBER: 231330707 MAIL ADDRESS: STREET 1: C/O BECTON DICKERSON & CO STREET 2: 1 BECTON DR CITY: FRANKLIN LAKES STATE: NJ ZIP: 07417 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LivaNova PLC CENTRAL INDEX KEY: 0001639691 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 981268150 STATE OF INCORPORATION: X0 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 20 EASTBOURNE TERRACE CITY: LONDON STATE: X0 ZIP: W2 6LG BUSINESS PHONE: 4402033250662 MAIL ADDRESS: STREET 1: 20 EASTBOURNE TERRACE CITY: LONDON STATE: X0 ZIP: W2 6LG FORMER COMPANY: FORMER CONFORMED NAME: Sand Holdco Plc DATE OF NAME CHANGE: 20150420 FORMER COMPANY: FORMER CONFORMED NAME: Sand Holdco Ltd DATE OF NAME CHANGE: 20150415 4 1 wk-form4_1697587279.xml FORM 4 X0508 4 2023-10-14 0 0001639691 LivaNova PLC LIVN 0001221785 KOZY WILLIAM A 20 EASTBOURNE TERRACE LONDON X0 W2 6LG UNITED KINGDOM 1 0 0 0 0 Ordinary Shares 2023-10-14 2023-10-14 4 M 0 10311 0 A 21550 D Ordinary Shares 2023-10-14 2023-10-14 4 F 0 3729 47.94 D 17821 D Restricted Stock Units 2023-10-14 4 M 0 10311 47.94 D Ordinary Shares 10311 0 D Reporting person had vested restricted stock units (RSUs) settled in ordinary shares of LivaNova PLC (the Company), GBP 1.00 par value. The referenced shares were withheld from distribution at the request of reporting person to satisfy tax liability. Each RSU represents a contingent right to receive one ordinary share of the Company, GBP 1.00 par value, in accordance with the terms of the LivaNova PLC 2022 Incentive Award Plan (the 2022 Plan) and the award agreement. On June 15, 2023, reporting person was granted RSUs to vest and forfeiture restrictions thereon to lapse in full on October 14, 2023, subject to continued service during the vesting period and the award agreement. /s/ Sarah K. Mohr, POA 2023-10-17