Sec Form 4 Filing - BALLESTER ANDRE MICHEL @ LivaNova PLC - 2016-12-31

Insider filing report for Changes in Beneficial Ownership
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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
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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1. Name and Address of Reporting Person
BALLESTER ANDRE MICHEL
2. Issuer Name and Ticker or Trading Symbol
LivaNova PLC [ LIVN]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
CEO
(Last) (First) (Middle)
20 EASTBOURNE TERRACE
3. Date of Earliest Transaction (MM/DD/YY)
12/31/2016
(Street)
LONDON, X0W2 6LG
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Ordinary Shares 12/31/2016 M 4,001 A 94,413 D
Ordinary Shares 12/31/2016 F 1,880 ( 3 ) D $ 44.97 92,533 D
Ordinary Shares 12/31/2016 M 2,431 A 94,964 D
Ordinary Shares 12/31/2016 F 1,142 ( 4 ) D $ 44.97 93,822 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units ( 1 ) 12/31/2016 M 4,001 ( 2 ) ( 2 ) Ordinary Shares 4,001 $ 0 0 D
Restricted Stock Units ( 1 ) 12/31/2016 M 2,431 ( 2 ) ( 2 ) Ordinary Shares 2,431 $ 0 0 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
BALLESTER ANDRE MICHEL
20 EASTBOURNE TERRACE
LONDON, X0W2 6LG
CEO
Signatures
/s/ Sarah K. Mohr, as POA 01/04/2017
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Each restricted stock unit ("RSU") represents a contingent right to receive one share of LivaNova PLC's ("Company") ordinary shares, ?1.00 par value.
( 2 )Reporting person was granted restricted stock units ("RSUs") under the Sorin LTI Award pursuant to the Sorin Plans. Each RSU represents a contingent right to receive one ordinary share of the Company. All of such RSUs vested and all restrictions thereon lapsed on December 30, 2016.
( 3 )The referenced shares were withheld from distribution at the request of reporting person. Such shares were forfeited and the associated value was used to offset the tax liability associated with the December 31, 2016 vesting of 4,001 RSUs.
( 4 )The referenced shares were withheld from distribution at the request of reporting person. Such shares were forfeited and the associated value was used to offset the tax liability associated with the December 31, 2016 vesting of 2,431 RSUs.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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