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 | ||||
Stock Options (right to buy) | Â (2) | 03/11/2024 | Ordinary Shares (1) | 30,003 | $ 48.76 | D | Â |
Stock Options (right to buy) | Â (3) | 03/11/2025 | Ordinary Shares (1) | 18,505 | $ 60.21 | D | Â |
Stock Options (right to buy) | Â (4) | 03/16/2026 | Ordinary Shares (1) | 18,503 | $ 53.5 | D | Â |
Stock Options (right to buy) | Â (5) | 03/03/2027 | Ordinary Shares (1) | 30,001 | $ 34.7 | D | Â |
Stock Options (right to buy) | Â (6) | 09/18/2027 | Ordinary Shares (1) | 15,914 | $ 16.99 | D | Â |
Restricted Share Units | Â (7) | Â (7) | Ordinary Shares (1) | 1,763 | $ (8) | D | Â |
Restricted Share Units | Â (9) | Â (9) | Ordinary Shares (1) | 2,618 | $ (8) | D | Â |
Restricted Share Units | Â (10) | Â (10) | Ordinary Shares (1) | 5,597 | $ (8) | D | Â |
Restricted Share Units | Â (11) | Â (6) | Ordinary Shares (1) | 5,276 | $ (8) | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Nazzi Gianfranco C/O TEVA PHARMACEUTICAL INDUSTRIES LTD. 5 BASEL STREET PETACH TIKVA, L3 4951033 |
 |  |  EVP, Growth Markets Commercial |  |
/s/ Dov Bergwerk, as attorney-in-fact for Gianfranco Nazzi | 01/02/2018 | |
**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) | The Ordinary Shares may be represented by American Depositary Shares, each of which currently represents one Ordinary Share. |
(2) | Stock options were granted on March 12, 2014, with 10,001 having vested on each of March 12, 2015, March 12, 2016 and March 12, 2017. |
(3) | Stock options were granted on March 12, 2015, with 4,626 having vested on each of March 12, 2016 and March 12, 2017, 4,626 vesting on March 12, 2018 and 4,627 vesting on March 12, 2019. |
(4) | Stock options were granted on March 17, 2016, with 4,625 having vested on March 17, 2017, 4,625 vesting on each of March 17, 2018 and March 17, 2019 and 4,628 vesting on March 17, 2020. |
(5) | Stock options were granted on March 3, 2017 with 7,500 vesting on each of March 3, 2018, March 3, 2019 and March 3, 2020 and 7,501 vesting on March 3, 2021. |
(6) | Stock options were granted on September 18, 2017 with 7,957 vesting on each of September 18, 2018 and September 18, 2019. |
(7) | Restricted share units were granted on March 12, 2015, with 880 vesting on March 12, 2018 and 883 vesting on March 12, 2019. |
(8) | Each restricted share unit represents a contingent right to receive, at settlement, one ordinary share or, at the option of the Human Resources and Compensation Committee, the cash value of one ordinary share. |
(9) | Restricted share units were granted on March 17, 2016, with 872 vesting on each of March 17, 2018 and March 17, 2019 and 874 vesting on March 17, 2020. |
(10) | Restricted share units were granted on March 3, 2017, with 1,399 vesting on each of March 3, 2018, March 3, 2019 and March 3, 2020 and 1,400 vesting on March 3, 2021. |
(11) | Restricted share units were granted on September 18, 2017, with 2,638 vesting on each of September 18, 2018 and September 18, 2019. |
 Remarks: The Reporting Person is filing this form in connection with the Issuer's transition from a foreign private issuer to a domestic issuer, effective January 1, 2018. Exhibit List      Exhibit 24 - Power of Attorney |