Major Shareholding Notification • Mar 7, 2018
Major Shareholding Notification
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Washington, D.C. 20549
| OMB Number: | 3235-0104 |
|---|---|
| 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 | 2. Date of Event Requiring | 3. Issuer Name and Ticker or Trading Symbol | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Fridriksdottir | Hafrun | Statement (Month/Day/Year) | Teva Pharmaceutical Industries Ltd. [TEVA] | |||||||
| (Last) | (First) (Middle) |
01/01/2018 | 4. Relationship of Reporting Person(s) to 5. If Amendment, Date Original |
|||||||
| Basel Street | C/O Teva Pharmaceutical Industries Ltd. , 5 | Issuer Filed(Month/Day/Year) (Check all applicable) 01/02/2018 _ Director _ 10% Owner |
||||||||
| (Street) | ____ Other (specify 6. Individual or Joint/Group Filing (Check X Officer (give title |
|||||||||
| Petach Tikva | L3 4951033 |
below) below) Applicable Line) Executive VP, Global R&D X Form filed by One Reporting Person |
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| (City) | (State) (Zip) |
____ Form filed by More than One Reporting Person |
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| Table I - Non-Derivative Securities Beneficially Owned | ||||||||||
| 1.Title of Security (Instr. 4) |
Owned | 2. Amount of Securities Beneficially 3. Ownership 4. Nature of Indirect Beneficial Ownership Form: Direct (D) (Instr. 5) |
or Indirect (I) (Instr. 5)
(Instr. 4)
Ordinary Shares (1) 3,344.514 (2) D
| 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 |
5. Ownership Form of Ownership Derivative (Instr. 5) |
6. Nature of Indirect Beneficial | ||
|---|---|---|---|---|---|---|---|
| Date Exercisable |
Expiration Date |
Title | Amount or Number of Shares |
Security Security: Direct (D) or Indirect (I) (Instr. 5) |
The Reporting Person is filing this form in connection with the Issuer's transition from a foreign private issuer to a domestic issuer, effective January 1, 2018.
/s/ Dov Bergwerk, as attorney-in-fact for Hafrun Fridriksdottir 03/06/2018
**Signature of Reporting Person Date
* 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.
Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
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