Statement of Changes in Beneficial Ownership (4)
07 März 2023 - 10:12PM
Edgar (US Regulatory)
FORM 4
[ ] 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 |
|
Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934 or Section 30(h) of the Investment
Company Act of 1940
|
|
1. Name
and Address of Reporting Person * Sabag Mark |
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)
EVP, International Markets |
(Last)
(First)
(Middle)
C/O TEVA PHARMACEUTICAL INDUSTRIES LTD., 124 DVORA HANEVI'A
ST., |
3. Date of Earliest Transaction (MM/DD/YYYY)
3/3/2023
|
(Street)
TEL AVIV, L3 6944020
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line) _X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
|
1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. 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) |
3/4/2023 |
|
M |
|
33512 |
A |
(2) |
281997 |
D |
|
Ordinary Shares (1) |
3/4/2023 |
|
M |
|
15921 |
A |
(2) |
297918 |
D |
|
Ordinary Shares (1) |
3/5/2023 |
|
M |
|
23764 |
A |
(2) |
321682 |
D |
|
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative
Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. 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 |
7. Title and Amount of Securities Underlying
Derivative Security
(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 |
(2) |
3/3/2023 |
|
A |
|
99601 |
|
(3) |
(3) |
Ordinary Shares (1) |
99601 |
$0.00 |
99601 |
D |
|
Restricted Share Units |
(2) |
3/4/2023 |
|
M |
|
|
15921 |
(4) |
(4) |
Ordinary Shares (1) |
15921 |
$0.00 |
0 |
D |
|
Restricted Share Units |
(2) |
3/4/2023 |
|
M |
|
|
33512 |
(5) |
(5) |
Ordinary Shares (1) |
33512 |
$0.00 |
100536 |
D |
|
Restricted Share Units |
(2) |
3/5/2023 |
|
M |
|
|
23764 |
(6) |
(6) |
Ordinary Shares (1) |
23764 |
$0.00 |
47529 |
D |
|
Explanation of
Responses: |
(1) |
The Ordinary Shares may be
represented by American Depositary Shares, each of which currently
represents one Ordinary Share. |
(2) |
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. |
(3) |
Restricted share units were
granted on March 3, 2023, with 24,900 vesting on each of March 3,
2024, March 3, 2025 and March 3, 2026, and 24,901 vesting on March
3, 2027. |
(4) |
Restricted share units were
granted on March 4, 2019, with 15,920 vested on each of March 4,
2021 and March 4, 2022, and 15,921 vested on March 4,
2023. |
(5) |
Restricted share units were
granted on March 4, 2022, with 33,512 vested on March 4, 2023, and
33,512 vesting on each of March 4, 2024, March 4, 2025 and March 4,
2026. |
(6) |
Restricted share units were
granted on March 5, 2021, with 23,764 vested on each of March 5,
2022 and March 5, 2023, 23,764 vesting on March 5, 2024, and 23,765
vesting on March 5, 2025. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Sabag Mark
C/O TEVA PHARMACEUTICAL INDUSTRIES LTD.
124 DVORA HANEVI'A ST.,
TEL AVIV, L3 6944020 |
|
|
EVP, International Markets |
|
Signatures
|
/s/ Dov Bergwerk as attorney-in-fact for Mark
Sabag |
|
3/7/2023 |
**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). |
Note: |
File three copies of this Form, one of
which must be manually signed. If space is insufficient, see
Instruction 6 for procedure. |
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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