SEC FORM 4 SEC Form 4
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Campbell Paul

(Last) (First) (Middle)
1000 MYLAN BOULEVARD

(Street)
CANONSBURG PA 15317

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Viatris Inc [ VTRS ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
See Remarks
3. Date of Earliest Transaction (Month/Day/Year)
03/02/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
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. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 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 03/02/2021 M 1,980 A $0.00 32,400 D
Common Stock 03/02/2021 F 972(1) D $14.29 31,428 D
Common Stock 03/02/2021 M 167 A $0.00 675 I By Spouse
Common Stock 03/02/2021 F 57(1) D $14.29 618 I By Spouse
Common Stock 03/02/2021 M 9,900 A $0.00 41,328 D
Common Stock 03/02/2021 F 4,335(2) D $14.29 36,993 D
Common Stock 03/02/2021 M 501 A $0.00 1,119 I By Spouse
Common Stock 03/02/2021 F 171(2) D $14.29 948 I By Spouse
Common Stock 03/02/2021 M 4,129 A $0.00 41,122 D
Common Stock 03/02/2021 F 1,854(3) D $14.29 39,268 D
Common Stock 03/02/2021 M 385 A $0.00 1,333 I By Spouse
Common Stock 03/02/2021 F 132(3) D $14.29 1,201 I By Spouse
Common Stock 03/02/2021 M 6,865 A $0.00 46,133 D
Common Stock 03/02/2021 F 2,995(4) D $14.29 43,138 D
Common Stock 03/02/2021 M 622 A $0.00 1,823 I By Spouse
Common Stock 03/02/2021 F 212(4) D $14.29 1,611 I By Spouse
Common Stock 03/04/2021 G V(5) 1,611 D $0.00 0 I By Spouse
Common Stock 03/04/2021 G V(5) 1,611 A $0.00 44,749 D
Common Stock 318 I By 401(k) Plan
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 (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 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 (Month/Day/Year) 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: 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 Stock Units $0.00 03/02/2021 A 41,988 (6) (6) Common Stock 41,988 $0.00 41,988 D
Restricted Stock Units $0.00 03/02/2021 A 2,608 (7) (7) Common Stock 2,608 $0.00 2,608 I By Spouse
Restricted Stock Units $0.00 03/02/2021 M 1,980 (8) (8) Common Stock 1,980 $0.00 0 D
Restricted Stock Units $0.00 03/02/2021 M 167 (9) (9) Common Stock 167 $0.00 0 I By Spouse
Restricted Stock Units $0.00 03/02/2021 M 9,900 (10) (10) Common Stock 9,900 $0.00 0 D
Restricted Stock Units $0.00 03/02/2021 M 501 (10) (10) Common Stock 501 $0.00 0 I By Spouse
Restricted Stock Units $0.00 03/02/2021 M 4,129 (11) (11) Common Stock 4,129 $0.00 4,129 D
Restricted Stock Units $0.00 03/02/2021 M 385 (12) (12) Common Stock 385 $0.00 385 I By Spouse
Restricted Stock Units $0.00 03/02/2021 M 6,865 (13) (13) Common Stock 6,865 $0.00 13,730 D
Restricted Stock Units $0.00 03/02/2021 M 622 (14) (14) Common Stock 622 $0.00 1,244 I By Spouse
Explanation of Responses:
1. Represents withholding of shares of common stock for the tax liability associated with the vesting and settlement of a portion of the restricted stock units (RSUs) granted on March 2, 2018.
2. Represents withholding of shares of common stock for the tax liability associated with the vesting and settlement of the RSUs granted on March 2, 2018.
3. Represents withholding of shares of common stock for the tax liability associated with the vesting and settlement of a portion of the RSUs granted on March 1, 2019.
4. Represents withholding of shares of common stock for the tax liability associated with the vesting and settlement of a portion of the RSUs granted on March 2, 2020.
5. This transaction involved a gift of securities by the reporting person's spouse to the reporting person on March 4, 2021.
6. Each RSU represents the right to receive one share of common stock of Viatris Inc. ("Viatris"). The RSUs vest in three equal annual installments beginning on March 2, 2022.
7. Each RSU represents the right to receive one share of common stock of Viatris. 870 of the RSUs will vest on March 2, 2022 and 869 will vest on each of March 2, 2023 and March 2, 2024.
8. Each RSU represents the right to receive one share of common stock of Viatris. 1,980 of the RSUs granted on March 2, 2018 vested on each of March 2, 2019, March 2, 2020 and March 2, 2021.
9. Each RSU represents the right to receive one share of common stock of Viatris. 167 of the RSUs granted on March 2, 2018 vested on each of March 2, 2019, March 2, 2020 and March 2, 2021.
10. Each RSU represents the right to receive one share of common stock of Viatris. The RSUs granted on March 2, 2018 vested in full on March 2, 2021.
11. Each RSU represents the right to receive one share of common stock of Viatris. 4,129 of the RSUs granted on March 1, 2019 vested on each of March 2, 2020, and March 2, 2021, and 4,129 will vest on March 2, 2022.
12. Each RSU represents the right to receive one share of common stock of Viatris. 384 of the RSUs granted on March 1, 2019 vested on March 2, 2020, 385 vested on March 2, 2021, and 385 will vest on March 2, 2022.
13. Each RSU represents the right to receive one share of common stock of Viatris. 6,865 of the RSUs granted on March 2, 2020 vested on March 2, 2021 and 6,865 will vest on each of March 2, 2022 and March 2, 2023.
14. Each RSU represents the right to receive one share of common stock of Viatris. 622 of the RSUs granted on March 2, 2020 vested on March 2, 2021 and 622 will vest on each of March 2, 2022 and March 2, 2023.
Remarks:
Chief Accounting Officer and Corporate Controller
/s/ Kevin Macikowski, by power of attorney 03/04/2021
** 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.
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