0001127602-17-005635.txt : 20170213
0001127602-17-005635.hdr.sgml : 20170213
20170213210911
ACCESSION NUMBER: 0001127602-17-005635
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170210
FILED AS OF DATE: 20170213
DATE AS OF CHANGE: 20170213
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: VARIAN MEDICAL SYSTEMS INC
CENTRAL INDEX KEY: 0000203527
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 942359345
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0929
BUSINESS ADDRESS:
STREET 1: 3100 HANSEN WAY
CITY: PALO ALTO
STATE: CA
ZIP: 94304-1000
BUSINESS PHONE: 650-424-5834
MAIL ADDRESS:
STREET 1: 3100 HANSEN WAY
CITY: PALO ALTO
STATE: CA
ZIP: 94304-1000
FORMER COMPANY:
FORMER CONFORMED NAME: VARIAN ASSOCIATES INC /DE/
DATE OF NAME CHANGE: 19920703
FORMER COMPANY:
FORMER CONFORMED NAME: VARIAN DELAWARE INC
DATE OF NAME CHANGE: 19761123
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BOSTROM SUSAN L
CENTRAL INDEX KEY: 0001181469
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-07598
FILM NUMBER: 17602000
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2017-02-10
0000203527
VARIAN MEDICAL SYSTEMS INC
VAR
0001181469
BOSTROM SUSAN L
C/O VARIAN MEDICAL SYSTEMS, INC.
3100 HANSEN WAY, MAIL STOP E-327
PALO ALTO
CA
94304
1
Deferred Stock Units
2017-02-10
4
A
0
1990
0
A
Common Stock
1990
8487
D
Each Deferred Stock Unit represents the right to receive one share of VAR common stock.
The Deferred Stock Units vest in four equal quarterly installments over a 12 month period beginning February 10, 2017. Vested shares will be delivered to the reporting person on the earlier of three years from the grant date, termination/retirement date, or a change in control.
Includes deferred stock units that were adjusted pursuant to the Employee Matters Agreement between Varian Medical Systems, Inc. ("Varian") and Varex Imaging Corporation ("Varex") relating to the January 28, 2017 distribution by Varian to its stockholders of all of the outstanding shares of the common stock of Varex. Deferred stock units that were outstanding at the time of the distribution were adjusted by multiplying the number of shares subject thereto by 1.1303 and rounding to the nearest whole share.
/s/ Franco N. Palomba, Attorney in Fact for Susan L Bostrom
2017-02-13