Statement of Changes in Beneficial Ownership (4)
02 October 2013 - 9:57AM
Edgar (US Regulatory)
FORM 4
[
X
]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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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
*
Rodriguez Rama Francisco
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2. Issuer Name
and
Ticker or Trading Symbol
Warner Chilcott plc
[
WCRX
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Senior V.P., Tech. Operations
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(Last)
(First)
(Middle)
C/O WARNER CHILCOTT CORPORATION, 100 ENTERPRISE DRIVE
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3. Date of Earliest Transaction
(MM/DD/YYYY)
9/30/2013
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(Street)
ROCKAWAY, NJ 07866
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Ordinary shares, par value $0.01 per share
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9/30/2013
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D
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13550
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D
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(1)
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22109
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D
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Ordinary shares, par value $0.01 per share
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10/1/2013
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D
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22109
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D
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(2)
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0
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Performance Restricted Share Units
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(3)
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9/30/2013
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D
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13150
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(3)
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(3)
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Ordinary shares, par value $0.01 per share
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13150
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(3)
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0
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D
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Option to purchase ordinary shares par value $0.01 per share
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$11.61
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9/30/2013
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D
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16590
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(4)
(8)
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12/29/2021
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Ordinary shares, par value $0.01 per share
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16590
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(8)
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0
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D
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Option to purchase ordinary shares par value $0.01 per share
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$13.35
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9/30/2013
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D
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13680
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(5)
(8)
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1/30/2022
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Ordinary shares, par value $0.01 per share
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13680
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(8)
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0
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D
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Option to purchase ordinary shares par value $0.01 per share
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$14.31
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9/30/2013
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D
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28860
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(6)
(8)
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2/12/2023
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Ordinary shares, par value $0.01 per share
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28860
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(8)
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0
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D
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Option to purchase ordinary shares par value $0.01 per share
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$19.71
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9/30/2013
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D
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15430
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(7)
(8)
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6/30/2023
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Ordinary shares, par value $0.01 per share
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15430
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(8)
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0
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D
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Explanation of Responses:
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(
1)
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Pursuant to the terms of the Transaction Agreement, dated as of May 19, 2013 (the "Transaction Agreement"), by and between Warner Chilcott plc ("Warner Chilcott"), Actavis, Inc., Actavis Limited ("New Actavis"), Actavis Ireland Holding Limited, Actavis W.C. Holding LLC and Actavis W.C. Holding 2 LLC, immediately prior to the effective time of the scheme (the "effective time"), each award of Warner Chilcott time-based restricted share units granted to the reporting person under the Warner Chilcott Equity Incentive Plan (the "Plan") became fully vested and was cancelled and converted into the right to receive at the effective time 0.160 of a New Actavis ordinary share for each Warner Chilcott ordinary share subject to the award immediately prior to the effective time, net of applicable tax withholdings. The closing price of a New Actavis ordinary share on October 1, 2013 was $145.10.
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(
2)
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Pursuant to the terms of the Transaction Agreement, immediately prior to the effective time, each award of Warner Chilcott time- and performance-based restricted ordinary shares granted to the reporting person under the Plan became fully vested (at 100% of target for performance-based restricted ordinary shares) and, at the effective time, each Warner Chilcott ordinary share owned by the reporting person immediately prior to the effective time (including vested Warner Chilcott time- and performance-based restricted ordinary shares) was exchanged for 0.160 of a New Actavis ordinary share, net of applicable tax withholdings, if any. The closing price of a New Actavis ordinary share on October 1, 2013 was $145.10.
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(
3)
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Pursuant to the terms of the Transaction Agreement, immediately prior to the effective time, each award of Warner Chilcott performance-based restricted share units granted to the reporting person under the Plan was fully vested at 100% of target and was cancelled and converted into the right to receive at the effective time 0.160 of a New Actavis ordinary share for each Warner Chilcott ordinary share subject to the award immediately prior to the effective time, net of applicable tax withholdings. The closing price of a New Actavis ordinary share on October 1, 2013 was $145.10.
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(
4)
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The option to purchase Warner Chilcott ordinary shares vested or was scheduled to vest in four equal annual installments beginning on December 30, 2012.
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(
5)
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The option to purchase Warner Chilcott ordinary shares vested or was scheduled to vest in four equal annual installments beginning on January 31, 2013.
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(
6)
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The option to purchase Warner Chilcott ordinary shares was scheduled to vest in four equal annual installments beginning on February 13, 2014.
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(
7)
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The option to purchase Warner Chilcott ordinary shares was scheduled to vest in four equal annual installments beginning on July 1, 2014.
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(
8)
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Pursuant to the terms of the Transaction Agreement, immediately prior to the effective time, each option to purchase Warner Chilcott ordinary shares granted to the reporting person under the Plan, to the extent unexercised (whether or not vested), became fully vested and exercisable and was cancelled and converted into the right to receive at the effective time 0.160 of a New Actavis ordinary share for each net Warner Chilcott ordinary share subject to such option immediately prior to the effective time (calculated as the number of Warner Chilcott ordinary shares equal to the spread value (the difference between the exercise price and the applicable value at the time of conversion) with respect to such option, net of applicable tax withholdings). The closing price of a New Actavis ordinary share on October 1, 2013 was $145.10.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Rodriguez Rama Francisco
C/O WARNER CHILCOTT CORPORATION
100 ENTERPRISE DRIVE
ROCKAWAY, NJ 07866
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Senior V.P., Tech. Operations
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Signatures
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/s/ Francisco Rodriguez Rama
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10/1/2013
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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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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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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