Statement of Changes in Beneficial Ownership (4)
March 04 2021 - 5:37PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Roman Brian |
2. Issuer Name and Ticker or Trading Symbol
Viatris Inc
[
VTRS
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Global General Counsel |
(Last)
(First)
(Middle)
1000 MYLAN BOULEVARD |
3. Date of Earliest Transaction
(MM/DD/YYYY)
3/2/2021 |
(Street)
CANONSBURG, PA 15317
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 3/2/2021 | | X | | 1611 | A | $0.00 | 30141 | D | |
Common Stock | 3/2/2021 | | F | | 791 (1) | D | $14.29 | 29350 | D | |
Common Stock | 3/2/2021 | | X | | 8055 | A | $0.00 | 37405 | D | |
Common Stock | 3/2/2021 | | F | | 3527 (2) | D | $14.29 | 33878 | D | |
Common Stock | 3/2/2021 | | X | | 3497 | A | $0.00 | 37375 | D | |
Common Stock | 3/2/2021 | | F | | 1539 (3) | D | $14.29 | 35836 | D | |
Common Stock | 3/2/2021 | | X | | 5035 | A | $0.00 | 40871 | D | |
Common Stock | 3/2/2021 | | F | | 2195 (4) | D | $14.29 | 38676 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 7. Title and Amount of Securities Underlying Derivative Security (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) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Restricted Stock Units | $0.00 | 3/2/2021 | | A | | 39189 | | (5) | (5) | Common Stock | 39189 | $0.00 | 39189 | D | |
Restricted Stock Units | $0.00 | 3/2/2021 | | X | | | 1611 | (6) | (6) | Common Stock | 1611 | $0.00 | 0 | D | |
Restricted Stock Units | $0.00 | 3/2/2021 | | X | | | 8055 | (7) | (7) | Common Stock | 8055 | $0.00 | 0 | D | |
Restricted Stock Units | $0.00 | 3/2/2021 | | X | | | 3497 | (8) | (8) | Common Stock | 3497 | $0.00 | 3498 | D | |
Restricted Stock Units | $0.00 | 3/2/2021 | | X | | | 5035 | (9) | (9) | Common Stock | 5035 | $0.00 | 10068 | D | |
Explanation of Responses: |
(1) | Represents withholding of shares of common stock for the tax liability associated with the vesting and settlement of a portion of the restricted stock units (RSUs) granted on March 2, 2018. |
(2) | Represents withholding of shares of common stock for the tax liability associated with the vesting and settlement of the RSUs granted on March 2, 2018. |
(3) | Represents withholding of shares of common stock for the tax liability associated with the vesting and settlement of a portion of the RSUs granted on March 1, 2019. |
(4) | Represents withholding of shares of common stock for the tax liability associated with the vesting and settlement of a portion of the RSUs granted on March 2, 2020. |
(5) | Each RSU represents the right to receive one share of common stock of Viatris Inc. ("Viatris"). The RSUs vest in three equal annual installments beginning on March 2, 2022. |
(6) | Each RSU represents the right to receive one share of common stock of Viatris. 1,611 of the RSUs granted on March 2, 2018 vested on each of March 2, 2019, March 2, 2020 and March 2, 2021. |
(7) | Each RSU represents the right to receive one share of common stock of Viatris. The RSUs granted on March 2, 2018 vested in full on March 2, 2021. |
(8) | Each RSU represents the right to receive one share of common stock of Viatris. 3,497 of the RSUs granted on March 1, 2019 vested on each of March 2, 2020 and March 2, 2021, and 3,498 will vest on March 2, 2022. |
(9) | Each RSU represents the right to receive one share of common stock of Viatris. 5,035 of the RSUs granted on March 2, 2020 vested on March 2, 2021 and 5,034 will vest on each of March 2, 2022 and March 2, 2023. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Roman Brian 1000 MYLAN BOULEVARD CANONSBURG, PA 15317 |
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| Global General Counsel |
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Signatures
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/s/ Kevin Macikowski, by power of attorney | | 3/4/2021 |
**Signature of Reporting Person | Date |
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