0001571049-17-001354.txt : 20170214 0001571049-17-001354.hdr.sgml : 20170214 20170214160802 ACCESSION NUMBER: 0001571049-17-001354 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170214 DATE AS OF CHANGE: 20170214 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WISE BRET W CENTRAL INDEX KEY: 0001186238 STATE OF INCORPORATION: OH FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16211 FILM NUMBER: 17608672 MAIL ADDRESS: STREET 1: 221 W PHILADELPHIA ST STREET 2: SUITE 60W CITY: YORK STATE: PA ZIP: 17401-2991 5 1 t1700389_x2-f5.xml OWNERSHIP DOCUMENT X0306 5 2016-12-31 0 0 0 0000818479 DENTSPLY SIRONA Inc. XRAY 0001186238 WISE BRET W 221 WEST PHILADELPHIA STREET, SUITE 60W YORK PA 17401 1 1 0 0 Executive Chairman, Board Common Stock 2016-03-01 5 G 0 2600 0 D 16100 I Wise GRAT 2 Common Stock 2016-03-01 5 G 0 2600 0 A 3100 I by Spouse Common Stock 2016-12-29 5 G 0 7461 0 D 8639 I Wise GRAT 2 Common Stock 2016-12-29 5 G 0 7461 0 A 10561 I by Spouse Common Stock 100428 D Common Stock 16185 I Bret W. Wise Deed of Trust The GRAT previously held 18,700 shares as reported on a Form 5 filed February 17, 2015. Includes 500 shares previously reported on a Form 4 filed on March 10, 2008 which continue to be held by the spouse. /s/ Michael Friedlander, Attorney-In-Fact for Bret W. Wise 2017-02-14