SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF 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*
Koning John Todd

(Last) (First) (Middle)
C/O MASIMO CORPORATION
52 DISCOVERY

(Street)
IRVINE CA 92618

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/26/2020
3. Issuer Name and Ticker or Trading Symbol
MASIMO CORP [ MASI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP, Chief Accounting Officer
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Non-Qualified Stock Option (Right to Buy) 04/30/2019(1) 04/30/2028 Common Stock 12,000 $89.73 D
Non-Qualified Stock Option (Right to Buy) 03/12/2021(2) 03/12/2030 Common Stock 3,316 $179.42 D
Restricted Stock Units 03/15/2020(3) 03/15/2029 Common Stock 2,397 $0.0(4) D
Restricted Stock Units 06/01/2023(5) 06/01/2030 Common Stock 1,477 $0.0(4) D
Explanation of Responses:
1. This option was granted on April 30, 2018 and is exercisable as the option vests. The option vests over a 5 year period, with 20% of the shares subject to the option vesting on each anniversary of the grant date.
2. This option was granted on March 12, 2020 and is exercisable as the option vests. The option vests over a 5 year period, with 20% of the shares subject to the option vesting on each anniversary of the grant date.
3. These restricted stock units (RSUs) were granted on March 15, 2019 and vest over a 5 year period, with 20% of the shares subject to the RSU award vesting on each anniversary of the grant date.
4. Each RSU represents the contingent right to receive one share of common stock of the Issuer upon vesting of the RSU.
5. These RSUs were granted on June 1, 2020 and vest over a 5 year period, with 60% of the shares subject to the RSU award vesting on the three year anniversary of the grant date, and 20% of the shares vesting on each of the subsequent anniversaries of the grant date.
Remarks:
Exhibit 24 - Power of Attorney
/s/ J. TODD KONING 11/05/2020
** 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 5 (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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