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Teva Pharmaceutical Industries Ltd.

Regulatory Filings Aug 20, 2021

7082_rns_2021-08-19_dc7e5605-b3fc-4a02-8655-6021d2a1fe8c.pdf

Regulatory Filings

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FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

OMB APPROVAL

OMB Number: 3235-0104
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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

1. Name and Address of Reporting Person 2. Date of Event Requiring 3. Issuer Name and Ticker or Trading Symbol
Shani Eli Statement (Month/Day/Year) Teva Pharmaceutical Industries Ltd. [TEVA]
(Last) (First)
C/O Teva Pharmaceutical Industries
Ltd., 124 Dvora HaNevi'a St.,
(Middle) 08/15/2021 4. Relationship of Reporting Person(s) to
5. If Amendment, Date Original
Issuer
Filed(Month/Day/Year)
(Check all applicable)
_ Director
_ 10% Owner
(Street)
Tel Aviv
L3 6944020 ____ Other (specify
6. Individual or Joint/Group Filing (Check
X Officer (give title
below)
below)
Applicable Line)
EVP,Global Marketing&Portfolio
X
Form filed by One Reporting Person
(City) (State) (Zip) ____ Form filed by More than One
Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1.Title of Security
(Instr. 4)
Owned
(Instr. 4)
2. Amount of Securities Beneficially
3. Ownership
4. Nature of Indirect Beneficial Ownership
Form: Direct (D)
(Instr. 5)
or Indirect (I)

Ordinary Shares (1) 9,091 D

(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
5. Ownership
Form of
Derivative
6. Nature of Indirect Beneficial
Ownership
(Instr. 5)
Date
Exercisable
Expiration
Date
Title Amount or
Number of Shares
Security Security: Direct
(D) or Indirect (I)
(Instr. 5)
Restricted Share Units (2) (2) Ordinary
(1)
Shares
6,346 (3) D
Restricted Share Units (4) (4) Ordinary
(1)
Shares
1,581 (3) D
Restricted Share Units (5) (5) Ordinary
(1)
Shares
23,586 (3) D
Restricted Share Units (6) (6) Ordinary
(1)
Shares
15,934 (3) D
Stock Options (right to buy) (7) 08/10/2028 Ordinary
(1)
Shares
16,503 \$22.48 D
Stock Options (right to buy) (8) 03/03/2027 Ordinary
(1)
Shares
13,002 \$34.7 D
Stock Options (right to buy) (9) 03/17/2026 Ordinary
(1)
Shares
13,005 \$53.5 D
Stock Options (right to buy) (10) 03/12/2025 Ordinary
(1)
Shares
14,252 \$60.21 D
Stock Options (right to buy) (11) 03/12/2024 Ordinary
(1)
Shares
15,002 \$48.76 D
Stock Options (right to buy) (12) 02/24/2023 Ordinary
(1)
Shares
4,170 \$38.08 D
Stock Options (right to buy) (13) 02/24/2022 Ordinary
(1)
Shares
2,669 \$44.59 D

Explanation of Responses:

(1) The Ordinary Shares may be represented by American Depositary Shares, each of which currently represents one Ordinary Share.

  • (2) Restricted share units were granted on March 4, 2019, with 3,173 vesting on each of March 4 2022 and March 4, 2023.
  • (3) Each restricted share unit represents a contingent right to receive, at settlement, one ordinary share or, at the option of the Human Resources and Compensation Committee, the cash value of one ordinary share.
  • (4) Restricted share units were granted on August 10, 2018, with 1,581 vesting on August 10, 2022.
  • (5) Restricted share units were granted on March 5, 2021, with 5,896 vesting on each of March 5, 2022, March 5, 2023 and March 5, 2024 and 5,898 vesting on March 5, 2025.
  • (6) Restricted share units were granted on February 28, 2020, with 5,311 vesting on each of February 28, 2022 and February 28, 2023 and 5,312 vesting on February 28, 2024.
  • (7) Stock options were granted on August 10, 2018, with 4,152 vesting on each of August 10, 2019, August 10, 2020 and August 10, 2021 and 4,128 vesting on August 10, 2022.
  • (8) Stock options were granted on March 3, 2017, with 3,250 vested on each of March 3, 2018, March 3, 2019 and March 3, 2020 and 3,252 vested on March 3, 2021.
  • (9) Stock options were granted on March 17, 2016, with 3,251 vested on each of March 17, 2017, March 17, 2018 and March 17, 2019 and 3,252 vested on March 17, 2020.
  • (10) Stock options were granted on March 12, 2015, with 3,563 vested on each of March 12, 2016, March 12, 2017, March 12, 2018 and March 12, 2019.
  • (11) Stock options were granted on March 12, 2014, with 5,000 vested on each of March 12, 2015 and March 12, 2016 and 5,002 vested on March 12, 2017.
  • (12) Stock options were granted on February 24, 2013, with 4,170 having vested on February 24, 2016.
  • (13) Stock options were granted on February 24, 2012, with 2,669 vested on February 24, 2016.

/s/ Dov Bergwerk as attorney-in-fact for Eli Shani 08/19/2021 **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.

POWER OF ATTORNEY FOR SECTION 16 REPORTING OBLIGATIONS

KNOW ALL BY THESE PRESENTS, that the undersigned hereby makes, constitutes and appoints Dov Bergwerk, Dikla Tadmor, Netanel Derovan and Shira Aran-Porat signing singly, as the undersigneds true and lawful attorney-in-fact, with full power and authority as hereinafter described on behalf of and in the name, place and stead of the undersigned to:

(1) prepare, execute, acknowledge, deliver and file Forms 3, 4, and 5 (including any amendments thereto) with respect to the securities of Teva Pharmaceutical Industries Limited, a company incorporated under the law of Israel, or any successor thereto (the "Company"), with the U.S. Securities and Exchange Commission, any national securities exchanges and the Company, as considered necessary or advisable under Section 16(a) of the Securities Exchange Act of 1934 and the rules and regulations promulgated thereunder, as amended from time to time (the "Exchange Act");

(2) seek or obtain, as the undersigneds representative and on the undersigneds behalf, information of transactions in the Companys securities from any third-party, including brokers, employee benefit plan administrators and trustees, and the undersigned hereby authorizes any such person to release any such information to the undersigned and approves and ratifies any such release of information; and

(3) perform any and all other acts which in the discretion of such attorney-in-fact is necessary or desirable for and on behalf of the undersigned in connection with the foregoing.

The undersigned acknowledges that:

(1) this Power of Attorney authorizes, but does not require, such attorney-in-fact to act in his or her discretion on information provided to such attorney-in-fact without independent verification of such information;

(2) any documents prepared, executed, acknowledged and/or delivered by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney will be in such form and will contain such information and disclosure as such attorney-in-fact, in his or her discretion, deems necessary or desirable;

(3) neither the Company nor such attorney-in-fact assumes (i) any liability for the undersigneds responsibility to comply with the requirement of the Exchange Act, (ii) any liability of the undersigned for any failure to comply with such requirements or (iii) any obligation or liability of the undersigned for profit disgorgement under Section 16(b) of the Exchange Act; and

(4) this Power of Attorney does not relieve the undersigned from responsibility for compliance with the undersigneds obligations under the Exchange Act, including without limitation the reporting requirements under Section 16 of the Exchange Act.

The undersigned hereby gives and grants the foregoing attorney-in-fact full power and authority to do and perform all and every act and thing whatsoever requisite, necessary or appropriate to be done in and about the foregoing matters as fully to all intents and purposes as the undersigned might or could do if present, hereby ratifying all that such attorney-in-fact of, for and on behalf of the undersigned, shall lawfully do or cause to be done by virtue of this Power of Attorney.

This Power of Attorney shall remain in full force and effect until revoked by the undersigned in a signed writing delivered to such attorney-in-fact.

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 1st day of August, 2021.

By: /s/ Eli Shani Name: Eli Shani Title: EVP, Global Marketing & Portfolio

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