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
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 * | 2. Issuer Name and Ticker or Trading Symbol | 5. Relationship of Reporting Person(s) to Issuer |
(Check all applicable) |
BHATT PRAT | CISCO SYSTEMS, INC. [ CSCO ] | _____ Director | _____ 10% Owner | ||||||||||||||||||||||||||
(Last) | (First) | (Middle) | 3. Date of Earliest Transaction (MM/DD/YYYY) | ||||||||||||||||||||||||||
__X__ Officer (give title below) _____ Other (specify below) | |||||||||||||||||||||||||||||
170 WEST TASMAN DRIVE | 9/11/2019 | SVP, Corp. Controller & CAO | |||||||||||||||||||||||||||
(Street) | 4. If Amendment, Date Original Filed (MM/DD/YYYY) | 6. Individual or Joint/Group Filing (Check Applicable Line) | |||||||||||||||||||||||||||
SAN JOSE, CA 95134 | _X _ Form filed by One Reporting Person | ||||||||||||||||||||||||||||
(City) | (State) | (Zip) | ___ Form filed by More than One Reporting Person | ||||||||||||||||||||||||||
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||||||||||||||||
1.Title of Security | 2. Trans. Date | 2A. Deemed | 3. Trans. Code | 4. Securities Acquired (A) | 5. Amount of Securities Beneficially Owned | 6. | 7. Nature | ||||||||||||||||||||||
(Instr. 3) | Execution | (Instr. 8) | or Disposed of (D) | Following Reported Transaction(s) | Ownership | of Indirect | |||||||||||||||||||||||
Date, if any | (Instr. 3, 4 and 5) | (Instr. 3 and 4) | Form: | Beneficial | |||||||||||||||||||||||||
Direct (D) | Ownership | ||||||||||||||||||||||||||||
or Indirect | (Instr. 4) | ||||||||||||||||||||||||||||
(A) or | (I) (Instr. | ||||||||||||||||||||||||||||
Code | V | Amount | (D) | Price | 4) | ||||||||||||||||||||||||
Common Stock | 9/11/2019 | A | 9603 (1) | A | $0 | 109902 | D | ||||||||||||||||||||||
Common Stock | 9/11/2019 | F | 10260 (2) | D | $49.21 | 99642 | D | ||||||||||||||||||||||
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||||||||||||||||
1. Title of Derivate | 2. | 3. Trans. | 3A. Deemed | 4. Trans. Code | 5. Number of | 6. Date Exercisable and | 7. Title and Amount of | 8. Price of | 9. Number of | 10. | 11. Nature | ||||||||||||||||||
Security | Conversion | Date | Execution | (Instr. 8) | Derivative Securities | Expiration Date | Securities Underlying | Derivative | derivative | Ownership | of Indirect | ||||||||||||||||||
(Instr. 3) | or Exercise | Date, if any | Acquired (A) or | Derivative Security | Security | Securities | Form of | Beneficial | |||||||||||||||||||||
Price of | Disposed of (D) | (Instr. 3 and 4) | (Instr. 5) | Beneficially | Derivative | Ownership | |||||||||||||||||||||||
Derivative | (Instr. 3, 4 and 5) | Owned | Security: | (Instr. 4) | |||||||||||||||||||||||||
Security | Following | Direct (D) | |||||||||||||||||||||||||||
Date | Expiration | Title | Amount or Number of | Reported | or Indirect | ||||||||||||||||||||||||
Code | V | (A) | (D) | Exercisable | Date | Shares | Transaction(s) | (I) (Instr. | |||||||||||||||||||||
(Instr. 4) | 4) |
Explanation of Responses:
- Represents settlement of a performance-based restricted stock unit ("PRSU") award granted on July 23, 2015 resulting from the satisfaction of performance metrics during the three-year performance period.
- Represents shares withheld for payment of tax liability arising as a result of the settlement of the PRSU described in footnote 1 and the partial settlement of two (2) restricted stock unit awards originally reported by the reporting person in Forms 4 filed with the Commission on July 24, 2015 and September 11, 2015.
Reporting Owners
Reporting Owner Name / Address | Relationships | ||||||
Director | 10% Owner | Officer | Other | ||||
BHATT PRAT | |||||||
170 WEST TASMAN DRIVE | SVP, Corp. Controller & CAO | ||||||
SAN JOSE, CA 95134 | |||||||
Signatures | |||||||
/s/ Prat Bhatt by Evan Sloves, Attorney-in-Fact | 9/13/2019 | ||||||
**Signature of Reporting Person | Date |
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).
- Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Cisco Systems Inc. published this content on 13 September 2019 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 13 September 2019 22:31:03 UTC