SEC Form 5 · accession 0001571049-17-001354
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
Dec 31, 2016
Accepted (ET)
Feb 14, 2017 · 4:08 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 | Mar 1, 2016 | G | 2,600 | $0.00 | D | 16,100 | I | Wise GRAT 2 |
| Common StockF2 | Mar 1, 2016 | G | 2,600 | $0.00 | A | 3,100 | I | by Spouse |
| Common Stock | Dec 29, 2016 | G | 7,461 | $0.00 | D | 8,639 | I | Wise GRAT 2 |
| Common Stock | Dec 29, 2016 | G | 7,461 | $0.00 | A | 10,561 | I | by Spouse |
| Common Stock | holding | — | — | — | 100,428 | D | ||
| Common Stock | holding | — | — | — | 16,185 | I | Bret W. Wise Deed of Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The GRAT previously held 18,700 shares as reported on a Form 5 filed February 17, 2015.
- F2Includes 500 shares previously reported on a Form 4 filed on March 10, 2008 which continue to be held by the spouse.