0001571049-16-012520.txt : 20160301
0001571049-16-012520.hdr.sgml : 20160301
20160301185259
ACCESSION NUMBER: 0001571049-16-012520
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160229
FILED AS OF DATE: 20160301
DATE AS OF CHANGE: 20160301
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SIRONA DENTAL SYSTEMS, INC.
CENTRAL INDEX KEY: 0001014507
STANDARD INDUSTRIAL CLASSIFICATION: DENTAL EQUIPMENT & SUPPLIES [3843]
IRS NUMBER: 113374812
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 30-30 47TH AVE
STREET 2: SUITE 500
CITY: LONG ISLAND CITY
STATE: NY
ZIP: 11101
BUSINESS PHONE: 7189375765
MAIL ADDRESS:
STREET 1: 30-30 47TH AVE
STREET 2: SUITE 500
CITY: LONG ISLAND CITY
STATE: NY
ZIP: 11101
FORMER COMPANY:
FORMER CONFORMED NAME: SCHICK TECHNOLOGIES INC
DATE OF NAME CHANGE: 19970425
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BEECKEN DAVID
CENTRAL INDEX KEY: 0001367164
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-22673
FILM NUMBER: 161475107
MAIL ADDRESS:
STREET 1: 131 SOUTH DEARBORN ST, STE 2800
CITY: CHICAGO
STATE: IL
ZIP: 60603
4
1
t1600536_x6-f4.xml
OWNERSHIP DOCUMENT
X0306
4
2016-02-29
1
0001014507
SIRONA DENTAL SYSTEMS, INC.
SIRO
0001367164
BEECKEN DAVID
131 SOUTH DEARBORN STREET, SUITE 2800
CHICAGO,
IL
60603
1
0
0
0
Common Stock
2016-02-29
4
D
0
22115
D
0
D
Includes 3,860 restricted stock units ("RSU").
On February 29, 2016, pursuant to an Agreement and Plan of Merger, dated as of September 15, 2015 (the "Merger Agreement"), by and among Sirona Dental Systems, Inc. ("Sirona"), DENTSPLY International Inc. ("DENTSPLY") and Dawkins Merger Sub Inc., a wholly owned subsidiary of DENTSPLY ("Merger Sub"), Merger Sub merged with and into Sirona, with Sirona continuing as the surviving entity and a wholly owned subsidiary of DENTSPLY (the "Merger"). Upon completion of the Merger, DENTSPLY changed its corporate name to "DENTSPLY SIRONA Inc."
Disposed of pursuant to the Merger Agreement in which (x) each share of Sirona common stock issued and outstanding immediately prior to the consummation of the Merger was converted into 1.8142 shares of DENTSPLY common stock and (y) each unvested RSU outstanding immediately prior to the consummation of the Merger was assumed by DENTSPLY and was converted into 1.8142 RSUs of DENTSPLY on the same terms and conditions as were in effect immediately prior to the completion of the Merger; in each case rounded down to the nearest whole share or RSU, as applicable.
/s/ Michael Friedlander, Attorney-in-Fact for David Beecken
2016-03-01