SD 1 formsd-52819.htm SD Document


 
 UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
 
FORM SD
 
 
 
SPECIALIZED DISCLOSURE REPORT
 
 
 
VAREX IMAGING CORPORATION
(Exact name of the registrant as specified in its charter)
 
 
Delaware
 
001-37860
 
81-3434516
(State or other jurisdiction of
incorporation or organization)
 
(Commission
File Number)
 
(IRS Employer
Identification No.) 
 
 
 
1678 S. Pioneer Road, Salt Lake City, Utah
 
84104
(Address of principal executive offices)
 
(Zip code)
 
 
Kimberley E. Honeysett
(801) 972-5000
 
(Name and telephone number, including area code, of the person to contact in connection with this report.)
 
Check the appropriate box to indicate the rule pursuant to which this form is being filed, and provide the period to which the information in this form applies:
 
x
Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2018.






Item 1.01.
Conflict Minerals Disclosure and Report
 
Varex Imaging Corporation (the “Company”) has concluded in good faith that during 2018, 
 
a)
The Company has manufactured and contracted to manufacture products as to which “conflict minerals” (as defined in Section 1, Item 1.01 (d) (3) of Form SD) are necessary to the functionality or production of such products.
 
b)
Based on a “reasonable country of origin inquiry”, the Company knows or has reason to believe that a portion of its necessary conflict minerals originated or may have originated in the Democratic Republic of the Congo or an adjoining country (collectively, sometimes referred to as the “Covered Countries”). Further the Company has determined that smelters and refiners identified as sourcing from the Covered Countries have been audited by the Responsible Minerals Initiative (RMI) and validated as “compliant”.
 

The Company’s reasonable country of origin inquiry employed a combination of measures to determine whether the necessary conflict minerals in any of the Company’s products originated from the Covered Countries. The Company’s primary means of determining country of origin of necessary conflict minerals was by conducting a supply-chain survey with direct vendors using the Responsible Business Alliance/Global e-Sustainability Initiative (RBA/GeSI) Conflict Minerals Reporting Template. The Company surveyed its direct vendors that were determined to have or had a high likelihood of containing tin, tantalum, tungsten or gold in their products. Additionally, the Company used the RMI website (http://www.responsiblemineralsinitiative.org/), smelter company websites, and other online tools to provide additional country of origin information.
 
Below is a summary of the information collected from all supply-chain survey respondents.
Conflict Mineral
 
Countries of Origin
Gold
 
Benin, Bolivia, Brazil, Chile, Colombia, Ecuador, Eritrea, Ghana, Guinea, Guyana, Mali, Mauritania, Nicaragua, Niger, Peru, Swaziland, Togo, South Africa
 
 
 
Tantalum
 
Australia, Austria, Bolivia, Brazil, Colombia, China, Ethiopia, Guinea, Guyana, India, Madagascar, Malaysia, Nigeria, Russian Federation, Sierra Leone, Thailand, Mozambique, Burundi, Rwanda, Democratic Republic of the Congo*
 
 
 
Tin
 
Australia, Bolivia, Brazil, China, Colombia, Guinea, Indonesia, Laos, Malaysia, Mongolia, Myanmar, Nigeria, Peru, Portugal, Russian Federation, Taiwan, Thailand, United Kingdom, Venezuela, Burundi, Rwanda, Uganda, Democratic Republic of the Congo*
 
 
 
Tungsten

 
Australia, Bolivia, Brazil, China, Colombia, Guinea, Indonesia, Laos, Malaysia, Mongolia, Myanmar, Nigeria, Peru, Russian Federation, Taiwan, Thailand, United Kingdom, United States, Burundi, Rwanda, Democratic Republic of the Congo*
 
*The reported tantalum from the DRC came from 10 smelters, reported tin from DRC came from 2 smelters, and reported tungsten from DRC came from 1 smelter all of which have been audited and validated as conformant by the RMI, which is internationally recognized for conflict free validation audits.
 
Conflict Minerals Disclosure
In accordance with Rule 13p-1 under the Securities Exchange Act of 1934, the Company has filed this Specialized Disclosure Form (Form SD) and the associated Conflict Minerals Report with the Securities and Exchange Commission and both documents are posted to a publicly available Internet site at http://investors.vareximaging.com/sec-filings.
Item 1.02.
Exhibits
Conflict Minerals Report required by Item 1.01 is attached as Exhibit 1.01.
Item 2.01.
Exhibits
 
* * * * *




SIGNATURES
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the duly authorized undersigned.


VAREX IMAGING CORPORATION
 
 
(Registrant)
 
 
 
 
/s/ Kimberley E. Honeysett
 
Dated: May 28, 2019
Kimberley E. Honeysett
Senior Vice President, General Counsel and Corporate Secretary