Sec Form 3 Filing - Weiss Amir @ TEVA PHARMACEUTICAL INDUSTRIES LTD - 2021-11-24

Insider filing report for Changes in Beneficial Ownership
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FORM 3
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
Weiss Amir
2. Issuer Name and Ticker or Trading Symbol
TEVA PHARMACEUTICAL INDUSTRIES LTD [ TEVA]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chief Accounting Officer
(Last) (First) (Middle)
C/O 124 DVORA HANEVI'A ST.
3. Date of Earliest Transaction (MM/DD/YY)
11/24/2021
(Street)
TEL AVIV, L36944020
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( 1 ) 14,391.41 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 Share Units ( 3 ) ( 2 ) ( 2 ) Ordinary Shares( 1 ) 14,258 D
Restricted Share Units ( 3 ) ( 4 ) ( 4 ) Ordinary Shares( 1 ) 9,657 D
Restricted Share Units ( 3 ) ( 5 ) ( 5 ) Ordinary Shares( 1 ) 4,809 D
Restricted Share Units ( 3 ) ( 6 ) ( 6 ) Ordinary Shares( 1 ) 981 D
Stock Options (right to buy) $ 19.16 ( 7 ) 03/02/2028 Ordinary Shares( 1 ) 10,002 D
Stock Options (right to buy) $ 34.7 ( 8 ) 03/03/2027 Ordinary Shares( 1 ) 7,755 D
Stock Options (right to buy) $ 53.5 ( 9 ) 03/17/2026 Ordinary Shares( 1 ) 5,003 D
Stock Options (right to buy) $ 60.21 ( 10 ) 03/12/2025 Ordinary Shares( 1 ) 3,752 D
Stock Options (right to buy) $ 48.76 ( 11 ) 03/11/2024 Ordinary Shares( 1 ) 1,501 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Weiss Amir
C/O 124 DVORA HANEVI'A ST.
TEL AVIV, L36944020
Chief Accounting Officer
Signatures
/s/ Dov Bergwerk as attorney-in-fact for Amir Weiss 12/06/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The Ordinary Shares may be represented by American Depositary Shares, each of which currently represents one Ordinary Share.
( 2 )Restricted share units were granted on March 5, 2021, with 3,564 vesting on each of March 5, 2022, March 5, 2023, March 5, 2024 and 3,566 vesting on March 5, 2025.
( 3 )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.
( 4 )Restricted share units were granted on February 28, 2020 with 3,219 vesting on each of February 28, 2022, February 28, 2023 and February 28, 2024.
( 5 )Restricted share units were granted on March 4, 2019, with 2,403 vesting on March 4, 2022 and 2,406 vesting on March 4, 2023.
( 6 )Restricted share units were granted on March 3, 2018 and vest on March 2, 2022.
( 7 )Stock options were granted on March 3, 2018, with 2,500 having vested on each of March 2, 2019, March 2, 2020 and March 2, 2021 and 2,502 vesting on March 2, 2022.
( 8 )Stock options were granted on March 3, 2017, with 1,938 having vested on each of March 3, 2018, March 3, 2019 and March 3, 2020 and 1,941 on March 3, 2021.
( 9 )Stock options were granted on March 17, 2016, with 1,250 having vested on each of March 17, 2017, March 17, 2018 and March 17, 2019 and 1,253 on March 17, 2020.
( 10 )Stock options were granted on March 12, 2015, with 938 having vested on each of March 12, 2016, March 12, 2017, March 12, 2018 and March 12, 2019.
( 11 )Stock options were granted on March 12, 2014, with 500 having vested on each of March 12, 2015 and March 12, 2016 and 501 having vested on March 12, 2017.

Remarks:
Exhibit 24 - Power of Attorney

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