Sec Form 4 Filing - Khichi Samrat S. @ BARD C R INC /NJ/ - 2016-09-06

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
Khichi Samrat S.
2. Issuer Name and Ticker or Trading Symbol
BARD C R INC /NJ/ [ BCR]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Sr. VP, Gen Counsel & Secy.
(Last) (First) (Middle)
C/O C. R. BARD, INC., 730 CENTRAL AVENUE
3. Date of Earliest Transaction (MM/DD/YY)
09/06/2016
(Street)
MURRAY HILL, NJ07974
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
Common Stock 08/02/2016 G V 23 D $ 0 12,912.219 ( 1 ) D
Common Stock 08/03/2016 G V 18 D $ 0 12,894.219 D
Common Stock 08/24/2016 G V 54 D $ 0 12,840.219 D
Common Stock 09/06/2016 M( 2 ) 9,183 A $ 145.83 22,023.219 D
Common Stock 09/06/2016 S( 2 ) 2,161 D $ 221.581 ( 3 ) 19,862.219 D
Common Stock 09/06/2016 S( 2 ) 7,022 D $ 220.8322 ( 4 ) 12,840.219 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
Option (Right to Buy) ( 5 ) $ 145.83 09/06/2016 M 9,183 ( 6 ) 07/16/2024 Common Stock 9,183 $ 0 9,184 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Khichi Samrat S.
C/O C. R. BARD, INC.
730 CENTRAL AVENUE
MURRAY HILL, NJ07974
Sr. VP, Gen Counsel & Secy.
Signatures
Myra McGinley, Attorney-in-Fact 09/08/2016
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Includes 127.382 shares acquired under the Company's Employee Stock Purchase Plan from February 6, 2016 to August 1, 2016.
( 2 )Option exercise and sales are pursuant to a previously disclosed 10b5-1 plan.
( 3 )Represents the weighted average sales price for price increments ranging from $221.4028 to $221.9011. The Reporting Person undertakes to provide, upon request by the Securities and Exchange Commission staff, the Issuer or a security holder of the Issuer, full information regarding the number of shares sold at each separate price for all transactions reported on this Form 4.
( 4 )Represents the weighted average sales price for price increments ranging from $220.3200 to $221.2271. The Reporting Person undertakes to provide, upon request by the Securities and Exchange Commission staff, the Issuer or a security holder of the Issuer, full information regarding the number of shares sold at each separate price for all transactions reported on this Form 4.
( 5 )Options granted under 2012 Long Term Incentive Plan of C. R. Bard, Inc. (as Amended and Restated).
( 6 )Of this option grant 9,183 options are vested and the remaining options vest in two annual installments beginning on July 16, 2017.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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