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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 | ||||||||
Employee Stock Option (right to buy) | $ 69.72 | 06/01/2016 | A | 9,000 | (8) | 06/01/2026 | Ordinary Shares, 0.10 | 9,000 | $ 0 | 9,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Forsythe Suzanne V C/O CHANCERY HOUSE, 190 WATERSIDE ROAD HAMILTON INDUSTRIAL PARK LEICESTER, X0 LE5 1QZ |
V. P. - Human Resources |
/s/ J. Adam Zangerle, Authorized Representative under Power of Attorney | 06/02/2016 | |
**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) | 185 shares were withheld from the 563 restricted shares that vested on May 31, 2016. These 185 ordinary shares represent the value of the taxes required to be withheld pursuant to applicable employment or tax laws, as determined by the Issuer. These 563 ordinary shares were awarded to Ms. Forsythe on May 30, 2012 as part of an award of 2,250 restricted shares. These vested shares were valued at the NYSE closing market price on May 31, 2016. |
(2) | 329 shares were withheld from the 1,000 restricted shares that vested on May 31, 2016. These 329 ordinary shares represent the value of the taxes required to be withheld pursuant to applicable employment or tax laws, as determined by the Issuer. These 1,000 ordinary shares were awarded to Ms. Forsythe on May 31, 2013 as part of an award of 4,000 restricted shares. These vested shares were valued at the NYSE closing market price on May 31, 2016. The remaining restrictions on these ordinary shares lapse as follows: 1,000 on May 31, 2017. |
(3) | 140 shares were withheld from the 425 restricted shares that vested on May 31, 2016. These 140 ordinary shares represent the value of the taxes required to be withheld pursuant to applicable employment or tax laws, as determined by the Issuer. These 425 ordinary shares were awarded to Ms. Forsythe on May 30, 2014 as part of an award of 1,700 restricted shares. These vested shares were valued at the NYSE closing market price on May 31, 2016. The remaining restrictions on these ordinary shares lapse as follows: 425 on May 30, 2017 and 425 on May 30, 2018. |
(4) | 124 shares were withheld from the 375 restricted shares that vested on May 31, 2016. These 124 ordinary shares represent the value of the taxes required to be withheld pursuant to applicable employment or tax laws, as determined by the Issuer. These 375 ordinary shares were awarded to Ms. Forsythe on August 10, 2015 as part of an award of 1,500 restricted shares. These vested shares were valued at the NYSE closing market price on May 31, 2016. The remaining restrictions on these ordinary shares lapse as follows: 375 on May 30, 2017; 375 on May 28, 2018; and 375 on May 28, 2019. |
(5) | All 1,500 of these ordinary shares are restricted. The restrictions on these ordinary shares lapse as follows: 375 on October 3, 2016; 375 on October 2, 2017; 375 on October 1, 2018 and 375 on October 1, 2019. |
(6) | All 1,400 of these ordinary shares are restricted. The restrictions on these ordinary shares lapse as follows: 350 on June 1, 2017; 350 on June 1, 2018; 350 on June 3, 2019 and 350 on June 1, 2020. |
(7) | Represents 1,090.150 units of the STERIS Corporation 401(k) Plan STERIS Stock Fund which equals 1,066 ordinary share equivalents as of June 1, 2016. |
(8) | This option becomes exercisable as follows: 2,250 on June 1, 2017; 2,250 on June 1, 2018; 2,250 on June 3, 2019 and 2,250 on June 1, 2020. |