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