SEC Form 4 · accession 0001246360-17-001487
DENTSPLY SIRONA Inc. · XRAY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Maureen J. MacInnis
Officer — Sr VP & Chief HR Officer
Period of report
Mar 22, 2017
Accepted (ET)
Mar 24, 2017 · 5:21 pm EDT
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(Supplemental Executive Retirement Plan)(SERP)F2,F3,F1 | — | Mar 22, 2017 | A | 1,005 | A | — | — | Common Stock | 1,005 | 7,642 | D |
| Phantom Stock(Supplemental Executive Retirement Plan)(SERP)F4,F5,F1 | — | Mar 22, 2017 | A | 35 | A | — | — | Common Stock | 35 | 7,678 | D |
Explanation of responses
- F1Each share of phantom stock is the economic equivalent of one share of common stock. The shares of phantom stock become payable in common stock upon the reporting persons termination of employment.
- F2Comprised of phantom stock.
- F3Supplemental Executive Retirement Plan (SERP) contribution for the year 2016 based on closing price on 12/31/2015.
- F4Comprised of accrued dividends.
- F5Supplemental Executive Retirement Plan (SERP) dividend for the year 2016 based on closing price on 12/31/2016.