0000028823-18-000027.txt : 20180206
0000028823-18-000027.hdr.sgml : 20180206
20180206171054
ACCESSION NUMBER: 0000028823-18-000027
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180201
FILED AS OF DATE: 20180206
DATE AS OF CHANGE: 20180206
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Chapman Christopher A.
CENTRAL INDEX KEY: 0001520179
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-04879
FILM NUMBER: 18578424
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/A
1
wf-form4a_151795503899897.xml
FORM 4/A
X0306
4/A
2018-02-01
2018-02-05
0
0000028823
DIEBOLD NIXDORF, Inc
DBD
0001520179
Chapman Christopher A.
C/O DIEBOLD NIXDORF, INCORPORATED
5995 MAYFAIR ROAD
NORTH CANTON
OH
44720
0
1
0
0
Interim CEO and CFO
Non-Qualified Stock Option
18.75
2018-02-01
4
A
0
39572
18.75
A
2019-02-01
2028-02-01
Common Shares
39572.0
39572
D
The original Form 4 is amended by this Form 4 amendment to correct the number of options acquired on this transaction date and the resulting number of derivative securities beneficially owned following the reported transaction. No other changes have been made to the original Form 4.
Granted under the 2017 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 Christopher A. Chapman
2018-02-06