0001681622-21-000002.txt : 20210113
0001681622-21-000002.hdr.sgml : 20210113
20210113180036
ACCESSION NUMBER: 0001681622-21-000002
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201120
FILED AS OF DATE: 20210113
DATE AS OF CHANGE: 20210113
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GUERTIN TIMOTHY E
CENTRAL INDEX KEY: 0001217440
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37860
FILM NUMBER: 21527012
MAIL ADDRESS:
STREET 1: C/O VARIAN MEDICAL SYSTEMS, INC
STREET 2: 3100 HANSEN WAY M/S E-327
CITY: PALO ALTO
STATE: CA
ZIP: 94304
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Varex Imaging Corp
CENTRAL INDEX KEY: 0001681622
STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPONENTS, NEC [3679]
IRS NUMBER: 813434516
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1002
BUSINESS ADDRESS:
STREET 1: 1678 S. PIONEER ROAD
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84104
BUSINESS PHONE: 801-972-5000
MAIL ADDRESS:
STREET 1: 1678 S. PIONEER ROAD
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84104
4/A
1
wf-form4a_161057882020351.xml
FORM 4/A
X0306
4/A
2020-11-20
2020-10-06
0
0001681622
Varex Imaging Corp
VREX
0001217440
GUERTIN TIMOTHY E
1678 S. PIONEER ROAD
SALT LAKE CITY
UT
84104
1
0
0
0
Deferred Stock Units
2020-11-20
4
A
0
4840
0
A
Common Stock
4840.0
4840
D
Each Deferred Stock Unit converts into common stock on a one-for-one basis.
In accordance with the Company's director compensation policy, Mr. Guertin's initial DSU award was made on November 20, 2020, and not the date originally reported. Consequently, this Form 4/A is being filed to correct the grant date and number of DSU's awarded.
These Deferred Stock Units vest in full on the date of the next annual meeting (February 11, 2021) subject to the reporting person serving on the board of the company through the vesting date. Vested shares will be delivered to the reporting person upon the earlier of (i) February 15, 2023 (ii) a change in control, (iii) the non-employee director termination of service for any reason.
/s/ Timothy E. Guertin
2021-01-13