Document


 
 
 
 
 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
___________________

FORM SD
Specialized Disclosure Report
___________________


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MASIMO CORPORATION
(Exact Name of Registrant as Specified in its Charter)
___________________
Delaware
 
001-33642
 
33-0368882
(State or Other Jurisdiction of
Incorporation or Organization)
 
(Commission
File Number)
 
(I.R.S. Employer
Identification Number)
 
 
 
52 Discovery
Irvine, California
 
92618
(Address of principal executive offices)
 
(Zip Code)
Anand Sampath
(949) 297-7000
(Name and telephone number, including area code, of the person to contact in connection with this report)
___________________



Check the appropriate box to indicate the rule pursuant to which this form is being filed, and provide the period to which the information in this form applies:
ý
Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2016.







 
 
 
 
 




Section 1
Conflict Minerals Disclosure
 
 
Item 1.01
Conflict Minerals Disclosure and Report
A copy of Masimo’s Conflict Minerals Report for the calendar year ended December 31, 2016 is filed herewith as Exhibit 1.01 and is also available on Masimo’s website at: http://masimocorp.gcs-web.com/corporate-governance/governance-overview
Item 1.02
Exhibit
Masimo has filed, as an exhibit to this Form SD, the Conflict Minerals Report required by Item 1.01.
Section 2
Exhibits
 
 
Item 2.01
Exhibits
 
 
Exhibit
 Number
Description of Document
1.01
Conflict Minerals Report as required by Items 1.01 and 1.02 of this Form.

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Masimo, SET, Signal Extraction Technology, Improving Patient Outcome and Reducing Cost of Care... by Taking Noninvasive Monitoring to New Sites and Applications, rainbow, SpHb, SpOC, SpCO, SpMet, PVI are trademarks or registered trademarks of Masimo Corporation











SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the duly authorized undersigned.


 
 
 
 
 
 
MASIMO CORPORATION
a Delaware corporation
 
 
 
 
Date: May 31, 2017
 
By:
/s/ ANAND SAMPATH
 
 
 
Anand Sampath
 
 
 
Chief Operating Officer