0001209191-16-143783.txt : 20161003 0001209191-16-143783.hdr.sgml : 20161003 20161003205452 ACCESSION NUMBER: 0001209191-16-143783 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161001 FILED AS OF DATE: 20161003 DATE AS OF CHANGE: 20161003 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Versum Materials, Inc. CENTRAL INDEX KEY: 0001660690 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS CHEMICAL PRODUCTS [2890] IRS NUMBER: 475632014 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 7201 HAMILTON BOULEVARD CITY: ALLENTOWN STATE: PA ZIP: 18195 BUSINESS PHONE: 6104816697 MAIL ADDRESS: STREET 1: 7201 HAMILTON BOULEVARD CITY: ALLENTOWN STATE: PA ZIP: 18195 FORMER COMPANY: FORMER CONFORMED NAME: Versum Materials, LLC DATE OF NAME CHANGE: 20151210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: AIR PRODUCTS & CHEMICALS INC /DE/ CENTRAL INDEX KEY: 0000002969 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INORGANIC CHEMICALS [2810] STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37664 FILM NUMBER: 161917046 BUSINESS ADDRESS: STREET 1: 7201 HAMILTON BLVD CITY: ALLENTOWN STATE: PA ZIP: 18195-1501 BUSINESS PHONE: 6104814911 MAIL ADDRESS: STREET 1: 7201 HAMILTON BLVD CITY: ALLENTOWN STATE: PA ZIP: 18195-1501 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-10-01 1 0001660690 Versum Materials, Inc. VSM 0000002969 AIR PRODUCTS & CHEMICALS INC /DE/ 7201 HAMILTON BOULEVARD ALLENTOWN PA 18195 0 0 1 0 Common Stock 2016-10-01 4 J 0 1000 0.00 D 0 D The transaction reported on this Form relates to the distribution to the Reporting Person's stockholders of shares of Issuer's common stock held by the Reporting Person, effective as of October 1, 2016 (the "Distribution"). To effect the Distribution, the issued and outstanding common stock of the Issuer, consisting of 1,000 shares of common stock prior to the Distribution, was recapitalized into 108,675,381 shares of the Issuer's common stock and distributed, by means of a pro rata dividend, to the holders of the Reporting Person's common stock (other than fractional shares, which the Reporting Person's stockholders received in cash in lieu of the fractional shares of Versum common stock that the stockholders would have received as a result of the application of the distribution ratio). /s/ Mary T. Afflerbach, Corporate Secretary and Chief Governance Officer 2016-10-03