SEC Form 4 · accession 0001246360-15-001642
DENTSPLY SIRONA Inc. · XRAY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Deborah Rasin
Officer — VP,Secretary & General Counsel
Period of report
Mar 27, 2015
Accepted (ET)
Mar 31, 2015 · 4:21 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000818479
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Supplemental Executive Retirement Plan (SERP)F2,F1,F3 | — | Mar 27, 2015 | A | 1,011 | A | — | — | Common Stock | 1,011 | 4,231 | D |
| Supplemental Executive Retirement Plan (SERP)F4,F1,F3 | — | Mar 27, 2015 | A | 16 | A | — | — | Common Stock | 16 | 4,247 | D |
Explanation of responses
- F1Not applicable to this transaction.
- F2Supplemental Executive Retirement Plan (SERP) allocation for the year 2014 based on closing pririce on 12/31/2013.
- F3Value paid in stock following the reporting person's retirement.
- F4Supplemental Executive Retirement Plan (SERP) dividend for the year 2014; based on 12/31/2014 closing price.