SEC Form 4/A · accession 0001246360-16-007006
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
Michael C Alfano
Director
Period of report
May 21, 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 21, 2016 | M | 1,433 | $0.00 | A | 10,170 | D | |
| Common StockF1,F3 | May 22, 2016 | M | 1,593 | $0.00 | A | 11,763 | 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)F1,F2 | — | May 21, 2016 | M | 1,433 | D | May 21, 2016 | May 21, 2016 | Common Stock | 1,433 | 3,184 | D |
| RSU (Restricted Stock Unit)F3,F1 | — | May 22, 2016 | M | 1,593 | D | May 22, 2016 | May 22, 2016 | Common Stock | 1,593 | 1,593 | D |
Explanation of responses
- F1This amended Form 4 is filed solely for the purpose of reporting an aggregate of five (5) additional shares of common stock which were accrued through dividend equivalent rights (DERs).
- F2Comprised of one thousand four hundred twenty-six (1,426) vested Restricted Stock Units (RSUs) plus seven (7) DERs. The original Form 4 reported all RSUs and five (5) DERs. RSUs convert into common stock on a 1:1 basis for no additional consideration.
- F3Comprised 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.