0001681622-21-000023.txt : 20210216
0001681622-21-000023.hdr.sgml : 20210216
20210216200428
ACCESSION NUMBER: 0001681622-21-000023
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210211
FILED AS OF DATE: 20210216
DATE AS OF CHANGE: 20210216
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rosebrough Walter M Jr
CENTRAL INDEX KEY: 0001413087
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37860
FILM NUMBER: 21642056
MAIL ADDRESS:
STREET 1: 5960 HEISLEY ROAD
CITY: MENTOR
STATE: OH
ZIP: 44060
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
1
wf-form4_161352381606550.xml
FORM 4
X0306
4
2021-02-11
0
0001681622
Varex Imaging Corp
VREX
0001413087
Rosebrough Walter M Jr
C/O VAREX IMAGING CORP
1678 S. PIONEER ROAD
SALT LAKE CITY
UT
84104
1
0
0
0
Common Stock
2021-02-11
4
M
0
3603
A
17603
D
Deferred Stock Units
2021-02-11
4
A
0
6881
0
A
Common Stock
6881.0
6881
D
Deferred Stock Units
2021-02-11
4
M
0
3603
0
D
Common Stock
3603.0
0
D
Each Deferred Stock Unit converts into common stock on a one-for-one basis.
14,000 of these Common Shares are held by the Reporting Person as Trustee of a revocable trust established for his benefit.
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) 2024 Annual Meeting (ii) a change in control or (iii) the reporting person's termination of service for any reason.
These Deferred Stock Units vested on February 15, 2019. 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 15, 2021.
/s/ Matthew C. Lowell attorney-in-fact
2021-02-16