0001209191-16-116854.txt : 20160502
0001209191-16-116854.hdr.sgml : 20160502
20160502192414
ACCESSION NUMBER: 0001209191-16-116854
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160501
FILED AS OF DATE: 20160502
DATE AS OF CHANGE: 20160502
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: Thomas Robert Bain
CENTRAL INDEX KEY: 0001404477
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34256
FILM NUMBER: 161613258
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
2016-05-01
0
0001389072
HeartWare International, Inc.
HTWR
0001404477
Thomas Robert Bain
C/O HEARTWARE INTERNATIONAL, INC.
500 OLD CONNECTICUT PATH
FRAMINGHAM
MA
01701
1
0
0
0
Common Stock
2016-05-01
4
M
0
250
0.00
A
3260
D
Common Stock
2016-05-01
4
M
0
250
0.00
A
3510
D
Common Stock
1000
I
see footnote
Restricted Stock Unit
2016-05-01
4
M
0
250
0.00
D
2016-05-01
2016-05-01
Common Stock
250
1500
D
Restricted Stock Unit
2016-05-01
4
M
0
250
0.00
D
2016-05-01
2016-05-01
Common Stock
250
1250
D
Robert Thomas as Trustee of the RB Thomas Superannuation Fund.
Each restricted stock unit represents a contingent right to receive one share of the Company's common stock.
/s/ Larry Knopf as Attorney-in-Fact
2016-05-02