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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 | ||||||||
Ordinary Share Option (Right to Buy) | $ 11.62 | (2) | 10/31/2025 | Ordinary Shares | 7,505 | 7,505 | D | ||||||||
Ordinary Share Option (Right to Buy) | $ 8 | (3) | 04/29/2024 | Ordinary Shares | 5,000 | 5,000 | D | ||||||||
Ordinary Share Option (Right to Buy) | $ 9.95 | (4) | 10/31/2024 | Ordinary Shares | 5,025 | 5,025 | D | ||||||||
Ordinary Share Option (Right to Buy) | $ 5.73 | 10/31/2016 | A | 8,726 | (5) | 10/31/2026 | Ordinary Shares | 8,726 | $ 0 | 8,726 | D | ||||
Restricted Stock Units | (6) | 10/31/2016 | A | 5,236 | (7) | (7) | Ordinary Shares | 5,236 | $ 0 | 5,236 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SHROFF ZUBEEN C/O GALEN PARTNERS, 680 WASHINGTON BLVD STAMFORD, CT 06901 |
X | X |
/s/ Zubeen Shroff | 11/02/2016 | |
**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) | Includes 5,840,200 ordinary shares held of record by Galen Partners V LP, 498,714 ordinary shares held of record by Galen Partners International V LP and 150,704 ordinary shares held of record by Galen Management, LLC (collectively, "Galen Partners"). John Wilkerson, David W. Jahns and Zubeen Shroff exercise voting, investment and dispositive rights over the securities held of record by Galen Partners. The Reporting Person disclaims beneficial ownership of the shares reported herein, except to the extent of his pecuniary interest therein. |
(2) | 2,502 options vested on October 31, 2016 and remain exercisable, 2,502 options will vest on October 31, 2017, 2,501 options will vest on October 31, 2018. |
(3) | 3,334 options have vested and remain exercisable, 1,666 options will vest on April 29, 2017. In the Form 4 filed August 5, 2016, the number of options previously reported in footnote 4 (4,000) differed from the number of options reported in columns 7 and 9 (5,000) due to typographical errors. The correct number of options is 5,000, as reported herein. |
(4) | 3,350 options have vested and remain exercisable, 1,675 options will vest on October 31, 2017. |
(5) | The options vest and become exercisable in three equal annual installments beginning October 31, 2017. |
(6) | Restricted Stock Units convert into ordinary shares on a one-for-one basis. |
(7) | On October 31, 2016, the reporting person was granted 5,236 restricted stock units, vesting in two equal installments on October 31, 2017 and October 31, 2018. |