0001681622-22-000025.txt : 20220214
0001681622-22-000025.hdr.sgml : 20220214
20220214191738
ACCESSION NUMBER: 0001681622-22-000025
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220210
FILED AS OF DATE: 20220214
DATE AS OF CHANGE: 20220214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GUERTIN TIMOTHY E
CENTRAL INDEX KEY: 0001217440
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37860
FILM NUMBER: 22636281
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: 0930
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
1
wf-form4_164488423653861.xml
FORM 4
X0306
4
2022-02-10
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
2022-02-10
4
A
0
6573
0
A
Common Stock
6573.0
6573
D
Each Deferred Stock Unit converts into common stock on a one-for-one basis.
These Deferred Stock Units vest 100% on the earlier of (i) the one-year anniversary of the date of the grant and (ii) the date of the first annual meeting following the date of grant. Vested shares will be delivered to the reporting person upon the earlier of (i) 2025 Annual Meeting (ii) a change in control or (iii) the reporting person's termination of service for any reason.
/s/ Timothy E. Guertin
2022-02-14