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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Restricted Stock Units | $ 0 | 12/28/2016 | M | 76,290 | (4) | (4) | Ordinary Shares | 76,290 | $ 0 | 0 | D | ||||
Performance Restricted Stock Units | $ 0 | 12/28/2016 | M | 71,951 | (5) | (5) | Ordinary Shares | 71,951 | $ 0 | 0 | D | ||||
Performance Restricted Stock Units | $ 0 | 12/28/2016 | M | 96,283 | (6) | (6) | Ordinary Shares | 96,283 | $ 0 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
COURY ROBERT J BUILDING 4, TRIDENT PLACE, MOSQUITO WAY HATFIELD, HERTFORDSHIRE, X0 AL10 9UL |
X |
/s/ Bradley L. Wideman, by power of attorney | 12/30/2016 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Includes 4,957 ordinary shares of Mylan N.V. ("Mylan") previously owned indirectly through Mylan's 401(k) and Profit Sharing Plan. |
(2) | Represents withholding of ordinary shares of Mylan for the tax liability associated with the settlement of restricted stock units ("RSUs") or performance restricted stock units ("PRSUs"), as applicable. |
(3) | On April 26, 2016, the reporting person contributed 1,000,000 ordinary shares of Mylan to a grantor retained annuity trust of which the reporting person is the sole trustee and sole annuitant. |
(4) | Each RSU represents the right to receive one ordinary share of Mylan. The RSUs were granted on November 17, 2015 and February 17, 2016. The RSUs vested on June 24, 2016 and were settled on December 28, 2016. |
(5) | Each PRSU represents the right to receive one ordinary share of Mylan. The PRSUs were granted on November 17, 2015. The PRSUs vested on June 24, 2016 and were settled on December 28, 2016. |
(6) | Each PRSU represents the right to receive one ordinary share of Mylan. The PRSUs were granted on February 17, 2016. The PRSUs vested on June 24, 2016 and were settled on December 28, 2016. |