0001127602-19-015430.txt : 20190415 0001127602-19-015430.hdr.sgml : 20190415 20190415160217 ACCESSION NUMBER: 0001127602-19-015430 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190412 FILED AS OF DATE: 20190415 DATE AS OF CHANGE: 20190415 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ALEXOS NICHOLAS W CENTRAL INDEX KEY: 0001246224 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16211 FILM NUMBER: 19748621 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 2019-04-12 0000818479 DENTSPLY SIRONA Inc. XRAY 0001246224 ALEXOS NICHOLAS W 221 W PHILADELPHIA ST, STE 60W YORK PA 17401 1 EVP, CFO Common Stock 2019-04-12 4 A 0 131.949 0 A 33766.754 D Common Stock 50000 I By ALEXOS FAMILY DYNASTY TRUST Common Stock 50000 I By NICHOLAS W. ALEXOS REVOCABLE TRUST U/A/D 12/24/2003 Phantom Stock (Supplemental Executive Retirement Plan) SERP 2019-04-12 4 A 0 2.9019 50.95 A Common Stock 2.9019 1692.5339 D Represents dividends on restricted stock units (RSUs) awarded to the Reporting Person in the form of additional RSUs and are subject to the same vesting terms as the underlying awards. The dividends vest simultaneously with the RSUs to which they relate. Each RSU converts to common stock on a 1:1 basis. 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 acquired as a result of accrued dividends. Dane Baumgardner, Attorney-In-Fact for Nicholas W. Alexos 2019-04-15