SEC Form 4 · accession 0001246360-15-003901
DENTSPLY SIRONA Inc. · XRAY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John L Miclot
Director
Period of report
Dec 15, 2015
Accepted (ET)
Dec 17, 2015 · 11:35 am EST
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom Stock (Directors' Deferred Comp)F2,F1,F3,F4 | — | Dec 15, 2015 | A | 335 | A | — | — | Common Stock | 335 | 8,990 | D |
Explanation of responses
- F1Shares of Phantom Stock convert into Common Stock on a 1:1 basis.
- F2Comprises Directors' Deferred Compensation (DDC) and credited Dividends on DDC.
- F3Value paid in stock upon termination of service as a Director.
- F4Not applicable to this transaction.