Statement of Changes in Beneficial Ownership (4)
November 19 2021 - 04:28PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
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OMB
APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response... 0.5 |
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Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934 or Section 30(h) of the Investment
Company Act of 1940
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1. Name
and Address of Reporting Person * Petersohn Walter |
2. Issuer Name and Ticker or Trading
Symbol DENTSPLY SIRONA Inc. [ XRAY ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
Chief Commercial Officer |
(Last)
(First)
(Middle)
13320 BALLANTYNE CORPORATE PLACE |
3. Date of Earliest Transaction (MM/DD/YYYY)
11/17/2021
|
(Street)
CHARLOTTE, NC 28277
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line) _X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
|
1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock |
11/17/2021 |
|
S |
|
34068 |
D |
$54.297 (1) |
36487.1034 |
D |
|
Common Stock |
11/17/2021 |
|
S |
|
10747 |
D |
$54.0832 (2) |
25740.1034 |
D |
|
Common Stock |
11/17/2021 |
|
M |
|
17748 |
A |
$47.41 |
43488.1034 |
D |
|
Common Stock |
11/17/2021 |
|
S |
|
17748 |
D |
$54.107 (3) |
25740.1034 |
D |
|
Common Stock |
11/17/2021 |
|
M |
|
9300 |
A |
$40.12 |
35040.1034 |
D |
|
Common Stock |
11/17/2021 |
|
S |
|
9300 |
D |
$54.085 (4) |
25740.1034 |
D |
|
Common Stock |
11/17/2021 |
|
M |
|
9134 |
A |
$49.29 |
34874.1034 |
D |
|
Common Stock |
11/17/2021 |
|
S |
|
9134 |
D |
$54.123 (5) |
25740.1034 |
D |
|
Common Stock |
11/17/2021 |
|
M |
|
5434 |
A |
$47.84 |
31174.1034 |
D |
|
Common Stock |
11/17/2021 |
|
S |
|
5434 |
D |
$54.094 (6) |
25740.1034 |
D |
|
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative
Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. Code
(Instr. 8) |
5. Number of Derivative Securities Acquired (A) or
Disposed of (D)
(Instr. 3, 4 and 5) |
6. Date Exercisable and Expiration Date |
7. Title and Amount of Securities Underlying
Derivative Security
(Instr. 3 and 4) |
8. Price of Derivative Security
(Instr. 5) |
9. Number of derivative Securities Beneficially
Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct
(D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Stock Option (Right to Buy) |
$47.41 |
11/17/2021 |
|
M |
|
|
17748 |
(7) |
11/25/2024 |
Common Stock |
17748 |
$0 |
0 |
D |
|
Stock Option (Right to Buy) |
$40.12 |
11/17/2021 |
|
M |
|
|
9300 |
(8) |
8/9/2028 |
Common Stock |
9300 |
$0 |
0 |
D |
|
Stock Option (Right to Buy) |
$49.29 |
11/17/2021 |
|
M |
|
|
9134 |
(9) |
3/12/2029 |
Common Stock |
9134 |
$0 |
4566 |
D |
|
Stock Option (Right to Buy) |
$47.84 |
11/17/2021 |
|
M |
|
|
5434 |
(10) |
3/4/2030 |
Common Stock |
5434 |
$0 |
10866 |
D |
|
Explanation of
Responses: |
(1) |
The price reported in Column
4 is a weighted average price. The shares were sold in multiple
transactions at prices ranging from $54.19 to $54.43, inclusive.
The Reporting Person undertakes to provide to the Issuer, any
security holder of the Issuer, or the staff of the Securities and
Exchange Commission, upon request, full information regarding the
number of shares sold at each separate price within the ranges set
forth in this footnote. |
(2) |
The price reported in Column
4 is a weighted average price. The shares were sold in multiple
transactions at prices ranging from $54.05 to $54.12, inclusive.
The Reporting Person undertakes to provide to the Issuer, any
security holder of the Issuer, or the staff of the Securities and
Exchange Commission, upon request, full information regarding the
number of shares sold at each separate price within the ranges set
forth in this footnote. |
(3) |
The price reported in Column
4 is a weighted average price. The shares were sold in multiple
transactions at prices ranging from $54.06 to $54.21, inclusive.
The Reporting Person undertakes to provide to the Issuer, any
security holder of the Issuer, or the staff of the Securities and
Exchange Commission, upon request, full information regarding the
number of shares sold at each separate price within the ranges set
forth in this footnote. |
(4) |
The price reported in Column
4 is a weighted average price. The shares were sold in multiple
transactions at prices ranging from $54.03 to $54.15, inclusive.
The Reporting Person undertakes to provide to the Issuer, any
security holder of the Issuer, or the staff of the Securities and
Exchange Commission, upon request, full information regarding the
number of shares sold at each separate price within the ranges set
forth in this footnote. |
(5) |
The price reported in Column
4 is a weighted average price. The shares were sold in multiple
transactions at prices ranging from $54.00 to $54.32, inclusive.
The Reporting Person undertakes to provide to the Issuer, any
security holder of the Issuer, or the staff of the Securities and
Exchange Commission, upon request, full information regarding the
number of shares sold at each separate price within the ranges set
forth in this footnote. |
(6) |
The price reported in Column
4 is a weighted average price. The shares were sold in multiple
transactions at prices ranging from $54.03 to $54.26, inclusive.
The Reporting Person undertakes to provide to the Issuer, any
security holder of the Issuer, or the staff of the Securities and
Exchange Commission, upon request, full information regarding the
number of shares sold at each separate price within the ranges set
forth in this footnote. |
(7) |
This option is fully vested
and exercisable. |
(8) |
This option is fully vested
and exercisable. |
(9) |
Stock Options vest in annual
one-third (1/3) increments over a three-year period ending March
12, 2022. |
(10) |
Stock Options vest in annual
one-third (1/3) increments over a three-year period ending March 4,
2023. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Petersohn Walter
13320 BALLANTYNE CORPORATE PLACE
CHARLOTTE, NC 28277 |
|
|
Chief Commercial Officer |
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Signatures
|
/s/ Dane Baumgardner, Attorney-In-Fact for Walter
Petersohn |
|
11/19/2021 |
**Signature of Reporting
Person |
Date |
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