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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OMB APPROVAL |
OMB Number: |
3235-0287 |
Estimated average burden |
hours per response: |
0.5 |
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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*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
STERIS CORP
[ STE ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year) 08/31/2015
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction 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 |
V |
Amount |
(A) or (D) |
Price |
Common Shares, No Par Value |
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25,295 |
D |
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Common Shares, No Par Value |
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72,242 |
I |
See Footnote Below.
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction 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
(Month/Day/Year) |
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: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Option to Purchase Common Shares |
$64.05
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08/31/2015 |
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A |
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4,110 |
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08/31/2025 |
Common Shares, No Par Value |
4,110 |
$0.00
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4,110 |
D |
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Career Restricted Stock Units |
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08/31/2015 |
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A |
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2,068 |
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Common Shares, No Par Value |
2,068 |
$0.00
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2,068 |
D |
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Explanation of Responses: |
Remarks: |
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/s/ Dennis P. Patton, Authorized Representative under Power of Attorney |
08/31/2015 |
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** 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. |
Securities and Exchange Commission Washington, D.C. 20549
RE: STERIS Corporation
Commission File No. 0-20165 1933 Act and 1934 Act Filings
Authorized Representatives
Gentlemen:
The above Company is the issuer of securities registered under Section 12 of the
Securities Exchange Act of 1934. The person signing below confirms, as of the
date
appearing opposite his/her signature, that each of the "Authorized
Representatives"
named below is authorized on his/her behalf to sign such statements (on Form 3,
Form 4,
Form 5, Form 144, Schedule 13G, or otherwise) with respect to securities of the
Company
(the "Securities"), and to submit to the Securities and Exchange Commission such
filings
(including reports, notices, and other statements) with respect to the
Securities, as
are required by the Securities Act of 1933, as amended, or the Securities
Exchange Act
of 1934 as amended (collectively, the "Acts"). The person so signing also
confirms the
authority of each of the Authorized Representatives to do and perform, on
his/her behalf,
any and all acts and things with respect to the Securities requisite or
necessary to
assure compliance by the signing person with the filing requirements of the
Acts.
This authority revokes all prior authorities with respect to the Securities
previously
executed by the person signing below including but not limited to any such
authorities
filed with or given to the Commission by the person signing below. The authority
confirmed herein shall remain in effect as to the person signing below until
such time
as the Commission shall receive from that person a written communication that
terminates
or modifies the authority.
Authorized Representatives
Judith A. Hunter
Dennis P. Patton
Ronald E. Snyder
Michael J. Tokich
J. Adam Zangerle
Dated: August 15, 2014 By: __/s/_Richard C. Breeden_________
Richard C. Breeden