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