0001681622-23-000025.txt : 20230213
0001681622-23-000025.hdr.sgml : 20230213
20230213172512
ACCESSION NUMBER: 0001681622-23-000025
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230209
FILED AS OF DATE: 20230213
DATE AS OF CHANGE: 20230213
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: 23620100
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: 0929
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_167632709485037.xml
FORM 4
X0306
4
2023-02-09
0
0001681622
Varex Imaging Corp
VREX
0001217440
GUERTIN TIMOTHY E
1678 S. PIONEER ROAD
SALT LAKE CITY
UT
84104
1
0
0
0
Common Stock
2023-02-13
4
M
0
4840
A
4840
D
Deferred Stock Units
2023-02-09
4
A
0
8483
0
A
Common Stock
8483.0
8483
D
Deferred Stock Units
2023-02-13
4
M
0
4840
0
D
Common Stock
4840.0
0
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 next annual meeting of stockholders that occurs after the date of grant. Vested shares will be delivered to the reporting person upon the earlier of (i) the third anniversary of the date of grant (ii) a change in control or (iii) the reporting person's termination of service for any reason.
These Deferred Stock Units vested on February 13, 2021. There was an inadvertently discrepancy in the originally filed Form 4 that showed the distribution date as February 15, 2023. Pursuant to the terms of the applicable grant agreement, delivery of the vested Deferred Stock Units, in the form of common stock, was made on February 13, 2023.
/s/ Kimberley Honeysett, attorney-in-fact for Timothy Guertin
2023-02-13