SEC Form 4 · accession 0001246360-17-002029
DENTSPLY SIRONA Inc. · XRAY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas Jetter
Director
Period of report
May 24, 2017
Accepted (ET)
May 26, 2017 · 5:49 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 | May 24, 2017 | A | 1,395 | $0.00 | A | 24,583 | D | |
| Common Stock | May 25, 2017 | M | 1,220 | $0.00 | A | 25,803 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F2 | $62.73 | May 24, 2017 | A | 7,300 | A | May 24, 2018 | May 24, 2027 | Common Stock | 7,300 | 7,300 | D |
| RSU (Restricted Stock Unit)F4,F3,F5 | $0.00 | May 25, 2017 | M | 1,220 | D | — | — | Common Stock | 1,220 | 28 | D |
Explanation of responses
- F1This grant consists entirely of Restricted Stock Units (RSUs).
- F2Stock Options vest in full one (1) year from date of grant.
- F3Restricted Stock Units (RSUs) convert into Common Stock on a one-for-one basis for no additional consideration.
- F4Comprised of one thousand two hundred fourteen (1,214) vested RSUs plus six (6) RSUs accrued through dividend equivalent rights, each as previously reported in this Table II.
- F5Restricted Stock Units vest in full one (1) year from date of grant.