0001127602-21-026959.txt : 20211012 0001127602-21-026959.hdr.sgml : 20211012 20211012163608 ACCESSION NUMBER: 0001127602-21-026959 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211008 FILED AS OF DATE: 20211012 DATE AS OF CHANGE: 20211012 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Casey Donald M Jr. CENTRAL INDEX KEY: 0001423197 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16211 FILM NUMBER: 211318978 MAIL ADDRESS: STREET 1: C/O DENTSPLY SIRONA INC STREET 2: 13320 BALLANTYNE CORPORATE PLACE CITY: CHARLOTTE STATE: NC ZIP: 28277 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: 13320 BALLANTYNE CORPORATE PLACE CITY: CHARLOTTE STATE: NC ZIP: 28277-3607 BUSINESS PHONE: 844-546-3722 MAIL ADDRESS: STREET 1: 13320 BALLANTYNE CORPORATE PLACE CITY: CHARLOTTE STATE: NC ZIP: 28277-3607 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 2021-10-08 0000818479 DENTSPLY SIRONA Inc. XRAY 0001423197 Casey Donald M Jr. 13320 BALLANTYNE CORPORATE PLACE CHARLOTTE NC 28277 1 1 President & CEO Common Stock 2021-10-08 4 A 0 48.205 60.01 A 131371.605 D Common Stock 32500 I By HF Donald M Casey Jr TR U/D Phantom Stock (Supplemental Executive Retirement Plan) SERP 2021-10-08 4 A 0 17.3988 58.46 A Common Stock 17.3988 9263.3425 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 Donald M. Casey Jr. 2021-10-12