Ownership Submission
|
FORM 3/A
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549INITIAL 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
|
|
OMB APPROVAL
|
|
OMB Number:3235-0104Expires:January 31, 2005Estimated average burden hours per response...0.5
|
|
|
1. Name and Address of Reporting Person *
|
|
Davis Derek M
|
|
2. Date of Event Requiring Statement (Month/Day/Year)
2021-11-26
|
3. Issuer Name and Ticker or Trading Symbol
ZIMMER BIOMET HOLDINGS, INC. [ZBH]
|
|
(Last)
|
(First)
|
(Middle)
|
|
345 E. MAIN STREET
|
|
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
_____ Director
|
_____ 10% Owner
|
|
_____ Officer (give title below)
|
_____ Other (specify below)
|
|
Interim Controller & CAO /
|
|
5. If Amendment, Date Original Filed(Month/Day/Year)
2021-12-06
|
|
|
6. Individual or Join/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
|
2. Amount of Securities Beneficially Owned
|
3. Ownership Form: Direct (D) or Indirect (I)
|
4. Nature of Indirect Beneficial Ownership
|
|
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
|
2. Date Exercisable and Expiration Date
|
3. Title and Amount of Securities Underlying Derivative Security
|
4. Conversion or Exercise Price of Derivative Security
|
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
|
6. Nature of Indirect Beneficial Ownership
|
|
Date Exercisable
|
Expriation Date
|
Title
|
Amount or Number of Shares
|
Reporting Owners
|
Reporting Owner Name / Address
|
Relationships
|
|
Director
|
10% Owner
|
Officer
|
Other
|
Davis Derek M
345 E. MAIN STREET
WARSAW, IN46580
|
|
|
Interim Controller & CAO
|
|
Signatures
|
Heather Kidwell, Attorney-in-Fact for Derek M. Davis
|
2021-12-06
|
|
**Signature of Reporting Person
|
Date
|
Explanation of Responses:
|
(*)
|
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).
|
|
(1)
|
Fully vested.
|
|
(2)
|
6,252 options are vested; the remaining 2,083 options vest on March 20, 2022.
|
|
(3)
|
3,267 options are vested; the remaining 3,266 options vest as follows: 1,633 options vest on February 26, 2022 and 1,633 options vest on February 26, 2023.
|
|
(4)
|
1,784 options are vested; the remaining 5,349 options vest as follows: 1,783 options vest on February 21, 2022, 1,783 options vest on February 21, 2023 and 1,783 options vest on February 21, 2024.
|
|
(5)
|
Options vest annually over four years in increments of 25% each year, commencing on February 25, 2022.
|
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.
