UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Employee Stock Options | Â (3) | 06/29/2028 | Common Stock | 99,250 | $ 22.67 | D | Â |
Employee Stock Options (4) | 07/01/2021 | 07/01/2028 | Common Stock | 33,363 | $ 22.48 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Zurbay Donald 1031 MENDOTA HEIGHTS ST. PAUL, MN 55120 |
 |  |  Chief Financial Officer |  |
Les B. Korsh, by Power of Attorney | 07/03/2018 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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 an inducement award of Restricted Stock Units ("RSUs") granted outside the Patterson Companies, Inc. 2015 Omnibus Incentive Plan ("Plan") to Reporting Person on 6/29/2018. The RSUs awarded vest, assuming continued employment, 50% on the first anniversary of the date of the grant and the remaining 50% on the second anniversary of the date of the grant. |
(2) | Represents RSUs awarded on 7/1/2018 to Reporting Person pursuant to the Plan. The award vests, contingent upon continued employment, in 5 equal annual installments commencing on the one year anniversary of the date of the grant and each anniversary thereafter |
(3) | Represents an inducement award of stock options granted outside the Plan on 6/29/2018. The stock options granted would vest pro-rata over the course of 3 years, with one-third of the shares vesting on 6/29/2019, one-third vesting on 6/29/2020, and the remaining one-third vesting 6/29/2021, in all cases subject to continued employment. |
(4) | Stock Options granted pursuant to the Plan on 7/1/2018. |