SEC Form 4/A · accession 0001246360-16-007012
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
Christopher T Clark
Officer — President & CEO Technologies
Period of report
Feb 25, 2016
Accepted (ET)
Oct 28, 2016 · 4:14 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 | Feb 25, 2016 | M | 3,712 | $0.00 | A | 3,910 | D | |
| Common StockF1,F3 | Feb 25, 2016 | M | 22,810 | $0.00 | A | 26,720 | D | |
| Common Stock | Feb 25, 2016 | F | 11,556 | $60.74 | D | 15,164 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PRSUF1,F2 | — | Feb 25, 2016 | M | 3,712 | D | Feb 25, 2016 | Feb 25, 2016 | Common Stock | 3,712 | 13,921 | D |
| RSU (Restricted Stock Unit)F1,F3 | — | Feb 25, 2016 | M | 22,810 | D | Feb 25, 2016 | Feb 25, 2016 | Common stock | 22,810 | 32,548 | D |
Explanation of responses
- F1This amended Form 4 is filed solely for the purpose of reporting an aggregate of thirty-one (31) additional shares of common stock which were accrued through dividend equivalent rights (DERs) and not reported on the original Form 4.
- F2Comprised of three thousand six hundred fifty-two (3,652) vested Performance Restricted Stock Units (PRSUs) plus sixty (60) DERs. The original Form 4 reported all PRSUs and fifty-six (56) DERs. PRSUs convert into common stock on a 1:1 basis for no additional consideration.
- F3Comprised of twenty-two thousand four hundred thirty-four (22,434) vested Restricted Stock Units (RSUs) plus three hundred seventy-six (376) DERs. The original Form 4 reported all RSUs and three hundred forty-nine (349) DERs. RSUs convert into common stock on a 1:1 basis for no additional consideration.