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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 | ||||||||
| Director Stock Option (right to buy) | $ 27.68 | 11/02/2015 | A | 3,387 | (3) | 07/27/2017 | Ordinary Shares, ?0.10 Nominal Value | 3,387 | (3) | 3,387 | D | ||||
| Director Stock Option (right to buy) | $ 34.17 | 11/02/2015 | A | 2,744 | (4) | 07/31/2018 | Ordinary Shares, ?0.10 Nominal Value | 2,744 | (4) | 2,744 | D | ||||
| Director Stock Option (right to buy) | $ 28.08 | 11/02/2015 | A | 3,609 | (5) | 07/31/2019 | Ordinary Shares, ?0.10 Nominal Value | 3,609 | (5) | 3,609 | D | ||||
| Director Stock Option (right to buy) | $ 32.34 | 11/02/2015 | A | 3,133 | (6) | 08/04/2020 | Ordinary Shares, ?0.10 Nominal Value | 3,133 | (6) | 3,133 | D | ||||
| Director Stock Option (right to buy) | $ 31.61 | 11/02/2015 | A | 3,121 | (7) | 08/03/2021 | Ordinary Shares, ?0.10 Nominal Value | 3,121 | (7) | 3,121 | D | ||||
| Director Stock Option (right to buy) | $ 32.36 | 11/02/2015 | A | 3,218 | (8) | 08/03/2022 | Ordinary Shares, ?0.10 Nominal Value | 3,218 | (8) | 3,218 | D | ||||
| Director Stock Option (right to buy) | $ 43.92 | 11/02/2015 | A | 4,657 | (9) | 08/08/2023 | Ordinary Shares, ?0.10 Nominal Value | 4,657 | (9) | 4,657 | D | ||||
| Director Stock Option (right to buy) | $ 51.53 | 11/02/2015 | A | 4,584 | (10) | 08/06/2024 | Ordinary Shares, ?0.10 Nominal Value | 4,584 | (10) | 4,584 | D | ||||
| Director Stock Option (right to buy) | $ 64.05 | 11/02/2015 | A | 4,110 | (11) | 08/31/2025 | Ordinary Shares, ?0.10 Nominal Value | 4,110 | (11) | 4,110 | D | ||||
| Career Restricted Stock Units | (12) | 11/02/2015 | A | 2,845 | (12) | (12) | Ordinary Shares, ?0.10 Nominal Value | 2,845 | $ 0 | 2,845 | D | ||||
| Reporting Owner Name / Address | Relationships | |||
| Director | 10% Owner | Officer | Other | |
| KOSECOFF JACQUELINE B C/O CHANCERY HOUSE, 190 WATERSIDE ROAD HAMILTON INDUSTRIAL PARK LEICESTER, X0 LE5 1QZ |
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| /s/ Dennis P. Patton, Authorized Representative under Power of Attorney | 11/02/2015 | |
| **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) | Represents ordinary shares of STERIS plc ("New STERIS") acquired pursuant to merger of a wholly-owned subsidiary of New STERIS with and into STERIS Corporation ("STERIS"), with STERIS surviving the merger as a wholly-owned subsidiary of New STERIS (the "Merger"), in exchange for common shares of STERIS, which was consummated simultaneous with and conditioned on New STERIS' acquisition of Synergy Health plc by commencing a "recommended offer" under English law. At the effective time of the Merger, each STERIS common share was cancelled and converted into the right to receive one New STERIS ordinary share. |
| (2) | These ordinary shares are held in a revocable family trust of the Reporting Person and the Reporting Person's spouse, as Co-Trustees. |
| (3) | This option to purchase 3,387 New STERIS ordinary shares, which is fully vested, was received in the Merger in exchange for an option to purchase 3,387 STERIS common shares for $27.68 per share, subject to the same terms and conditions as the original STERIS stock option. |
| (4) | This option to purchase 2,744 New STERIS ordinary shares, which is fully vested, was received in the Merger in exchange for an option to purchase 2,744 STERIS common shares for $34.17 per share, subject to the same terms and conditions as the original STERIS stock option. |
| (5) | This option to purchase 3,609 New STERIS ordinary shares, which is fully vested, was received in the Merger in exchange for an option to purchase 3,609 STERIS common shares for $28.08 per share, subject to the same terms and conditions as the original STERIS stock option. |
| (6) | This option to purchase 3,133 New STERIS ordinary shares, which is fully vested, was received in the Merger in exchange for an option to purchase 3,133 STERIS common shares for $32.34 per share, subject to the same terms and conditions as the original STERIS stock option. |
| (7) | This option to purchase 3,121 New STERIS ordinary shares, which is fully vested, was received in the Merger in exchange for an option to purchase 3,121 STERIS common shares for $31.61 per share, subject to the same terms and conditions as the original STERIS stock option. |
| (8) | This option to purchase 3,218 New STERIS ordinary shares, which is fully vested, was received in the Merger in exchange for an option to purchase 3,218 STERIS common shares for $32.36 per share, subject to the same terms and conditions as the original STERIS stock option. |
| (9) | This option to purchase 4,657 New STERIS ordinary shares, which is fully vested, was received in the Merger in exchange for an option to purchase 4,657 STERIS common shares for $43.92 per share, subject to the same terms and conditions as the original STERIS stock option. |
| (10) | This option to purchase 4,584 New STERIS ordinary shares, which is fully vested, was received in the Merger in exchange for an option to purchase 4,584 STERIS common shares for $51.53 per share, subject to the same terms and conditions as the original STERIS stock option. |
| (11) | This option to purchase 4,110 New STERIS ordinary shares, which is fully vested, was received in the Merger in exchange for an option to purchase 4,110 STERIS common shares for $64.05 per share, subject to the same terms and conditions as the original STERIS stock option. |
| (12) | At the effective time of the Merger, each STERIS career restricted stock unit was cancelled and converted to a New STERIS career restricted stock unit, subject to the same terms and conditions that were applicable to the original STERIS career restricted stock unit. These New STERIS career restricted stock units are fully vested and will be settled in New STERIS ordinary shares six months after the cessation of the Director's Board service. |