SEC Form 4 · accession 0001246360-17-002374
DENTSPLY SIRONA Inc. · XRAY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Bret W Wise
Officer — Executive Chairman, Board · Director
Period of report
Jul 14, 2017
Accepted (ET)
Jul 18, 2017 · 4:42 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 | Jul 14, 2017 | A | 25 | $0.00 | A | 143,482 | D | |
| Common Stock | holding | — | — | — | 16,185 | I | Bret W. Wise Deed of Trust | |
| Common Stock | holding | — | — | — | 10,561 | I | by Spouse | |
| Common Stock | holding | — | — | — | 8,639 | I | Wise GRAT 2 |
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 | $0.00 | Jul 14, 2017 | A | 50 | A | — | — | Common Stock | 50 | 37,418 | D |
Explanation of responses
- F1Represents dividends on restricted stock units (RSUs) awarded to the Reporting Person in the form of additional RSUs and are subject to the same vesting terms as the underlying awards. The dividends vest simultaneously with the RSUs to which they relate. Each RSU converts to common stock on a 1:1 basis.