SEC Form 4 · accession 0001246360-17-001081
DENTSPLY SIRONA Inc. · XRAY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James G Mosch
Officer — President & CEO Consumables
Period of report
Feb 24, 2017
Accepted (ET)
Feb 28, 2017 · 4:49 pm EST
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 | Feb 24, 2017 | M | 12,902 | $0.00 | A | 57,785 | D | |
| Common StockF2 | Feb 24, 2017 | M | 6,683 | $0.00 | A | 64,468 | D | |
| Common StockF5 | Feb 24, 2017 | F | 9,985 | $62.79 | D | 54,483 | 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,F3 | — | Feb 24, 2017 | M | 12,902 | D | Feb 24, 2017 | Feb 24, 2017 | Common Stock | 12,902 | 13,569 | D |
| PRSU (Performance Measured Restricted Stock Unit)F2,F4 | — | Feb 24, 2017 | M | 6,683 | D | Feb 24, 2017 | Feb 24, 2017 | Common Stock | 6,683 | 19,420 | D |
Explanation of responses
- F1Comprised of twelve thousand six hundred ninety-six (12,696) vested RSUs plus two hundred six (206) RSUs accrued through dividend equivalent rights, each as previously reported in this Table II.
- F2Comprised of six thousand five hundred seventy-seven (6,577) vested Performance Restricted Stock Units (PRSUs) plus one hundred six (106) DERs accrued through dividend equivalent rights, each as previously reported in this Table II.
- F3Restricted Stock Units (RSUs) convert into Common Stock on a one-for-one basis for no additional consideration.
- F4Performance Restricted Stock Units (PRSUs) convert into Common Stock on a one-for-one basis for no additional consideration.
- F5Shares withheld to cover taxes related to the vesting of the reporting person's RSUs and PRSUs.