0000028823-17-000120.txt : 20170726 0000028823-17-000120.hdr.sgml : 20170726 20170726155810 ACCESSION NUMBER: 0000028823-17-000120 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170726 FILED AS OF DATE: 20170726 DATE AS OF CHANGE: 20170726 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Heyden Olaf Robert CENTRAL INDEX KEY: 0001686746 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04879 FILM NUMBER: 17982802 MAIL ADDRESS: STREET 1: 5995 MAYFAIR ROAD CITY: NORTH CANTON STATE: OH ZIP: 44720 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DIEBOLD NIXDORF, Inc CENTRAL INDEX KEY: 0000028823 STANDARD INDUSTRIAL CLASSIFICATION: CALCULATING & ACCOUNTING MACHINES (NO ELECTRONIC COMPUTERS) [3578] IRS NUMBER: 340183970 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: P.O. BOX 3077 STREET 2: 5995 MAYFAIR RD CITY: NORTH CANTON STATE: OH ZIP: 44720-8077 BUSINESS PHONE: 3304904000 MAIL ADDRESS: STREET 1: PO BOX 3077 CITY: NORTH CANTON STATE: OH ZIP: 44720-8077 FORMER COMPANY: FORMER CONFORMED NAME: DIEBOLD INC DATE OF NAME CHANGE: 19920703 4 1 wf-form4_150109907547813.xml FORM 4 X0306 4 2017-07-26 0 0000028823 DIEBOLD NIXDORF, Inc DBD 0001686746 Heyden Olaf Robert C/O DIEBOLD NIXDORF, INCORPORATED 5995 MAYFAIR RD. NORTH CANTON OH 44720 0 1 0 0 SVP, Services Common Shares 2017-07-26 4 P 0 2000 23.28 A 7759 D Non-Qualified Stock Options 26.6 2018-02-08 2027-02-07 Common Shares 49650.0 49650 D The aggregate purchase price for the 2,000 Common Shares was 39.990,00 Euros. The purchase price per share in Column 4 of Table I was calculated based on the aggregate purchase price divided by the number of Common Shares purchased. The purchase price per share is shown in U.S. dollars and was converted based on the currency exchange as of the transaction date. Number includes restricted stock units. Granted under the 1991 Equity and Performance Incentive Plan; option is generally exercisable in annual increments of 1/3, 1/3, 1/3 beginning one year from the date of grant. Mary M. Swann, Attorney in fact for Olaf R Heyden 2017-07-26