0001127602-19-014117.txt : 20190402 0001127602-19-014117.hdr.sgml : 20190402 20190402160932 ACCESSION NUMBER: 0001127602-19-014117 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190329 FILED AS OF DATE: 20190402 DATE AS OF CHANGE: 20190402 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ebling Keith J. CENTRAL INDEX KEY: 0001451222 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16211 FILM NUMBER: 19724710 MAIL ADDRESS: STREET 1: DENTSPLY SIRONA INC STREET 2: 221 W PHILADELPHIA ST, SUITE 60W CITY: YORK STATE: PA ZIP: 17401-2991 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DENTSPLY SIRONA Inc. CENTRAL INDEX KEY: 0000818479 STANDARD INDUSTRIAL CLASSIFICATION: DENTAL EQUIPMENT & SUPPLIES [3843] IRS NUMBER: 391434669 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: SUSQUEHANNA COMMERCE CENTER STREET 2: 221 W. PHILADELPHIA STREET CITY: YORK STATE: PA ZIP: 17401 BUSINESS PHONE: 7178457511 MAIL ADDRESS: STREET 1: SUSQUEHANNA COMMERCE CENTER STREET 2: 221 W. PHILADELPHIA STREET CITY: YORK STATE: PA ZIP: 17401 FORMER COMPANY: FORMER CONFORMED NAME: DENTSPLY INTERNATIONAL INC /DE/ DATE OF NAME CHANGE: 19930630 FORMER COMPANY: FORMER CONFORMED NAME: GENDEX CORP DATE OF NAME CHANGE: 19920703 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2019-03-29 0000818479 DENTSPLY SIRONA Inc. XRAY 0001451222 Ebling Keith J. 221 W PHILADELPHIA ST, SUITE 60W YORK PA 17401 1 EVP, Secretary & Gen. Counsel Phantom Stock (Supplemental Executive Retirement Plan) SERP 2019-03-29 4 A 0 1782.148 37.21 A Common Stock 1782.148 1782.148 D Each share of phantom stock is the economic equivalent of one share of common stock. The shares of phantom stock become payable in common stock upon the reporting persons termination of employment. Comprised of phantom stock. Supplemental Executive Retirement Plan (SERP) contribution for the year 2018 based on closing price on 12/31/2018. Dane Baumgardner, Attorney-In-Fact for Keith J. Ebling 2019-04-02