SEC FORM 3/A 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*
Andersen Reiter Kara

(Last) (First) (Middle)
1020 KIFER ROAD

(Street)
SUNNYVALE CA 94086

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/06/2019
3. Issuer Name and Ticker or Trading Symbol
INTUITIVE SURGICAL INC [ ISRG ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Sr VP General Counsel & CCO
5. If Amendment, Date of Original Filed (Month/Day/Year)
02/06/2019
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)
Common Stock 3,309 D
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) (1) 02/06/2025 Common Stock 9,000 170.7567 D
Non-Qualified Stock Option (right to buy) (1) 02/16/2026 Common Stock 1,500 178.3867 D
Non-Qualified Stock Option (right to buy) (2) 08/15/2026 Common Stock 1,500 230.9967 D
Non-Qualified Stock Option (right to buy) (1) 02/15/2027 Common Stock 1,350 238.9133 D
Non-Qualified Stock Option (right to buy) (2) 08/15/2027 Common Stock 1,350 328.4567 D
Non-Qualified Stock Option (right to buy) (1) 02/15/2028 Common Stock 875 418.56 D
Non-Qualified Stock Option (right to buy) (2) 08/15/2028 Common Stock 875 522.77 D
Restricted Stock Units (3) 02/06/2019 Common Stock 750 0 D
Restricted Stock Units (3) 02/16/2020 Common Stock 1,500 0.00 D
Restricted Stock Units (3) 02/15/2021 Common Stock 2,025 0.00 D
Restricted Stock Units (3) 02/15/2022 Common Stock 1,750 0 D
Explanation of Responses:
1. Non-statutory stock option granted pursuant to the 2010 Employee Stock Option Plan. The option vests 1/8th six months after the date of grant and 1/48th monthly thereafter.
2. Non-statutory stock option granted pursuant to the 2010 Employee Stock Option Plan. The option vests 7/48th one month after the date of grant and 1/48th monthly thereafter.
3. Each Restricted Stock Unit, granted pursuant to the 2010 Employee Stock Option Plan, represents a contingent right to receive one share of Intuitive Surgical common stock. The grant vests 25% on the first anniversary of the date of grant and annually thereafter, over a four year period of time.
/s/ Kara Andersen Reiter 02/08/2019
** 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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