0001209191-16-108573.txt : 20160315 0001209191-16-108573.hdr.sgml : 20160315 20160315165943 ACCESSION NUMBER: 0001209191-16-108573 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160314 FILED AS OF DATE: 20160315 DATE AS OF CHANGE: 20160315 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: Cornell Chadwick CENTRAL INDEX KEY: 0001669401 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34256 FILM NUMBER: 161507617 MAIL ADDRESS: STREET 1: C/O HEARTWARE INTERNATIONAL STREET 2: 500 OLD CONNECTICUT PATH CITY: FRAMINGHAM STATE: MA ZIP: 01701 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-03-14 0 0001389072 HeartWare International, Inc. HTWR 0001669401 Cornell Chadwick C/O HEARTWARE INTERNATIONAL 500 OLD CONNECTICUT PATH FRAMINGHAM MA 01701 1 0 0 0 Restricted Stock Unit 2016-03-14 4 A 0 1000 0.00 A 2017-03-14 2017-03-14 Common Stock 1000 1000 D Each restricted stock unit represents a contingent right to receive one share of the Company's common stock. The restricted stock units vest on March 14, 2017 subject to the reporting person's continuous service as a director of the Company through March 14, 2017. 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 2016-03-15