0001306483-22-000008.txt : 20220119 0001306483-22-000008.hdr.sgml : 20220119 20220119201339 ACCESSION NUMBER: 0001306483-22-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220114 FILED AS OF DATE: 20220119 DATE AS OF CHANGE: 20220119 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHIDAMBARAM CHIDAMBARAM ALAGAPPA CENTRAL INDEX KEY: 0001526071 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16211 FILM NUMBER: 22540312 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 primary_doc.xml PRIMARY DOCUMENT X0306 4 2022-01-14 0 0000818479 DENTSPLY SIRONA Inc. XRAY 0001526071 CHIDAMBARAM CHIDAMBARAM ALAGAPPA C/O DENTSPLY SIRONA INC 13320 BALLANTYNE CORPORATE PLACE CHARLOTTE NC 28277 0 1 0 0 SVP, Chief Digital Officer Common Stock 2022-01-14 4 A 0 9.327 0 A 27341.373 D Phantom Stock (Dentsply Supplemental Savings Plan) DSSP 2022-01-14 4 A 0 1.5543 53.52 A Common Stock 1.5543 758.1114 D Phantom Stock (Supplemental Executive Retirement Plan) SERP 2022-01-14 4 A 0 3.2687 53.52 A Common Stock 3.2687 1593.7474 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. Includes 105 share acquired between July 1st - December 31, 2021 under the Dentsply Sirona Employee Stock Purchase Plan. 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 person's termination of employment. Comprised of common stock acquired as a result of accrued dividends. Dane Baumgardner, Attorney-In-Fact for Chidambaram A. Chidambaram 2022-01-19