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