SEC Form 4/A · accession 0001246360-16-007005
DENTSPLY SIRONA Inc. · XRAY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Eric Brandt
Director
Period of report
May 22, 2016
Accepted (ET)
Oct 28, 2016 · 4:07 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000818479
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | May 22, 2016 | M | 1,593 | $0.00 | A | 4,241 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| RSU (Restricted Stock Unit)F2,F1 | — | May 22, 2016 | M | 1,593 | D | May 22, 2016 | May 22, 2016 | Common STock | 1,593 | 6,369 | D |
Explanation of responses
- F1Comprised of one thousand five hundred sixty-seven (1,567) vested Restricted Stock Units (RSUs) plus twenty-six (26) DERs. The original Form 4 reported all RSUs and twenty-three (23) DERs. RSUs convert into common stock on a 1:1 basis for no additional consideration.
- F2This amended Form 4 is filed solely for the purpose of reporting an aggregate of three (3) additional shares of common stock which were accrued through dividend equivalent rights (DERs) and not reported on the original Form 4.