0001209191-15-050671.txt : 20150605
0001209191-15-050671.hdr.sgml : 20150605
20150605170410
ACCESSION NUMBER: 0001209191-15-050671
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150603
FILED AS OF DATE: 20150605
DATE AS OF CHANGE: 20150605
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: Stockman Robert Bernard
CENTRAL INDEX KEY: 0001404726
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34256
FILM NUMBER: 15916604
MAIL ADDRESS:
STREET 1: SUITE 4 LEVEL 46 2 PARK STREET
CITY: SIDNEY
STATE: C3
ZIP: 2000
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-06-03
0
0001389072
HeartWare International, Inc.
HTWR
0001404726
Stockman Robert Bernard
C/O HEARTWARE INTERNATIONAL, INC.
500 OLD CONNECTICUT PATH
FRAMINGHAM
MA
01701
1
0
0
0
Stock Option (right to buy)
76.60
2015-06-03
4
A
0
1000
0.00
A
2016-06-01
2025-06-01
Common Stock
1000
11714
D
Restricted Stock Unit
2015-06-03
4
A
0
1000
0.00
A
2016-06-01
2016-06-01
Common Stock
1000
1750
D
The stock options become exercisable on June 1, 2016 subject to the reporting person's continuous service as a director of the Company through June 1, 2016. In addition, the stock options will immediately vest upon the occurrence of a change in control (as defined in the 2012 Incentive Award Plan) or upon the reporting person's death prior to settlement.
Each restricted stock unit represents a contingent right to receive one share of the Company's common stock.
The restricted stock units vest on June 1, 2016 subject to the reporting person's continuous service as a director of the Company through June 1, 2016. In addition, the restricted stock units will immediately vest upon the occurrence of a change in control (as defined in the 2012 Incentive Award Plan) or upon the reporting person's death prior to settlement.
/s/ Larry Knopf as Attorney-in-Fact
2015-06-05