0000028823-17-000146.txt : 20171219 0000028823-17-000146.hdr.sgml : 20171219 20171219164349 ACCESSION NUMBER: 0000028823-17-000146 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171215 FILED AS OF DATE: 20171219 DATE AS OF CHANGE: 20171219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FITZGERALD GALE S CENTRAL INDEX KEY: 0001013804 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04879 FILM NUMBER: 171264495 MAIL ADDRESS: STREET 1: 800 DELEWARE AVE STREET 2: COMPUTER TASK GROUP INC CITY: BUFFALO STATE: NY ZIP: 14209 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_151371978248165.xml FORM 4 X0306 4 2017-12-15 0 0000028823 DIEBOLD NIXDORF, Inc DBD 0001013804 FITZGERALD GALE S C/O DIEBOLD NIXDORF, INCORPORATED 5995 MAYFAIR ROAD NORTH CANTON OH 44720 1 0 0 0 Common Shares 2017-12-15 4 P 0 4000 16.7444 A 51603 D Mary M. Swann, Attorney-in-fact for Gale S. Fitzgerald 2017-12-19