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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) | $ 40.37 | 08/16/2016 | M | 1,850 | (4) | 05/15/2022 | Class A Common Stock | 1,850 | $ 0 | 98,633 | D | ||||
Employee Stock Option (right to buy) | $ 37.35 | 08/16/2016 | M | 29,101 | (5) | 12/16/2023 | Class A Common Stock | 29,101 | $ 0 | 34,551 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BERGERON MICHAEL C/O DOLBY LABORATORIES, INC. 1275 MARKET STREET SAN FRANCISCO, CA 94103 |
SVP, WW Sales and Field Oper. |
/s/ Daniel Rodriguez, Attorney-in-Fact for Michael Bergeron | 08/18/2016 | |
**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) | Shares held following the reported transactions include 34,940 shares of Class A common stock underlying restricted stock units, which are subject to forfeiture until they vest. |
(2) | The amount of securities beneficially owned following the reported transaction should have been reported as 36,790, instead of 36,970 as originally reported, due to an administrative error. |
(3) | This transaction was executed in multiple trades at prices ranging from $49 to $49.235. The price reported above reflects the weighted average price. The reporting person hereby undertakes to provide upon request to the Securities and Exchange Commission staff, the Issuer or a security holder of the Issuer full information regarding the number of shares and prices at which the transactions were effected. |
(4) | This option was granted for a total of 100,483 shares of Class A Common Stock. 1/4 of the total number of shares issuable under the option vested on the first anniversary of May 15, 2012, the vesting commencement date, and the balance of the shares vest in equal monthly installments over the next 36 months thereafter. |
(5) | This option was granted for a total of 103,652 shares of Class A Common Stock. 1/4 of the total number of shares issuable under the option vested on the first anniversary of December 16, 2013, the vesting commencement date, and the balance of the shares vest in equal monthly installments over the next 36 months thereafter. |