0000028823-17-000126.txt : 20170822 0000028823-17-000126.hdr.sgml : 20170822 20170822163328 ACCESSION NUMBER: 0000028823-17-000126 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170821 FILED AS OF DATE: 20170822 DATE AS OF CHANGE: 20170822 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WALLACE HENRY D G CENTRAL INDEX KEY: 0001234041 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04879 FILM NUMBER: 171045481 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_150343399364607.xml FORM 4 X0306 4 2017-08-21 0 0000028823 DIEBOLD NIXDORF, Inc DBD 0001234041 WALLACE HENRY D G C/O DIEBOLD NIXDORF, INCORPORATED 5995 MAYFAIR ROAD NORTH CANTON OH 44720 1 0 0 0 Common Shares 2017-08-21 4 P 0 842 19 A 39956 D Common Shares 2017-08-21 4 P 0 2040 19.05 A 41996 D Common Shares 2017-08-21 4 P 0 6918 19.10 A 48914 D Common Shares 2017-08-21 4 P 0 200 19.075 A 49114 D Number includes Deferred Shares. Mary M. Swann, Attorney-in-fact for Henry D. G. Wallace 2017-08-21