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
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
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*
WILENSKY GAIL R

(Last) (First) (Middle)
C/O VIEWRAY, INC.
2 THERMO FISHER WAY

(Street)
OAKWOOD VILLAGE OH 44146

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
ViewRay, Inc. [ VRAY ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
07/16/2019
4. If Amendment, Date of Original Filed (Month/Day/Year)
08/05/2019
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 07/16/2019 A 2,459(1) A $9.15(2)(3) 2,459 D
Common Stock 08/01/2019 A 6,519(4) A $0.00(3) 8,978 D
Common Stock 08/01/2019 A 19,841(5) A $0.00(3) 28,819(6) 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 (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
Explanation of Responses:
1. The reported securities are Deferred Stock Units ("DSUs") that entitle the holder to receive one share of Common Stock per DSU upon the earliest of (i) the Reporting Person's termination of service from the Issuer's board of directors, (ii) a Change of Control of the Issuer as defined in the Issuer's 2015 Equity Incentive Award Plan or (iii) July 16, 2029 (the tenth anniversary of the grant date). 1/6th of these DSUs shall vest on the last day of each calendar month beginning on July 31, 2019, such that 100% of the shares will be vested on December 31, 2019, subject to the Reporting Person remaining a service provider through each such vesting date.
2. These DSUs were issued to the Reporting Person pursuant to ViewRay, Inc.'s Non-Employee Director Compensation Policy in lieu of retainer and committee service fees of $22,500.
3. This Form 4/A amends and restates the Form 4 filed on August 5, 2019 which reported an incorrect price for the reported transaction. The correct price for the reported transaction is presented above.
4. The reported securities are Restricted Stock Units ("RSUs") that entitle the holder to receive one share of Common Stock per RSU upon vesting. All of these RSUs shall vest on January 2, 2020, subject to the Reporting Person remaining a service provider through such date.
5. Due to administrative error, these shares were incorrectly listed as Stock Option (right to buy) shares in the original filing. These shares are RSUs and 1/36th of the RSUs shall vest on each monthly anniversary measured from August 1, 2019 (the "Vesting Commencement Date"), such that 100% of the RSUs will be fully vested on the third anniversary of the Vesting Commencement Date, subject to the Reporting Person remaining a service provider through each such vesting date.
6. Includes 26,360 shares granted as RSUs. As of the transaction date, none of the RSUs were vested. As of the amended filing date of this Form 4/A, 1,653 of the RSUs were vested.
Remarks:
/s/ Robert McCormack, Attorney-in-Fact 11/19/2019
** 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).
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 Number.