Initial Statement of Beneficial Ownership (3)

Date : 10/12/2017 @ 4:34PM
Source : Edgar (US Regulatory)
Stock : Dentsply Sirona Inc. (MM) (XRAY)
Quote : 59.5  0.0 (0.00%) @ 8:00PM
DENTSPLY SIRONA Inc. share price Chart

Initial Statement of Beneficial Ownership (3)

FORM 3
        
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

OMB APPROVAL
OMB Number: 3235-0104
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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
                      

1. Name and Address of Reporting Person *

Ebling Keith J.

2. Date of Event Requiring Statement (MM/DD/YYYY)
10/10/2017 

3. Issuer Name and Ticker or Trading Symbol

DENTSPLY SIRONA Inc. [XRAY]

(Last)        (First)        (Middle)

221 W PHILADELPHIA ST, SUITE 60W

4. Relationship of Reporting Person(s) to Issuer (Check all applicable)

_____ Director                            _____ 10% Owner
___ X ___ Officer (give title below)          _____ Other (specify below)
EVP, Secretary & Gen. Counsel /

(Street)

YORK, PA 17401       

(City)              (State)              (Zip)
5. 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 Beneficially Owned
1.Title of Security
(Instr. 4)
2. Amount of Securities Beneficially Owned
(Instr. 4)
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
4. Nature of Indirect Beneficial Ownership
(Instr. 5)
Common Stock   17804   (1) D    
Common Stock   203   (2) I   By Reporting Person's Trust  

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 4)
2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
6. Nature of Indirect Beneficial Ownership
(Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy)     (3) 10/10/2020   Common Stock   38100   $57.57   D    

Explanation of Responses:
(1)  The amount shown represents Restricted Stock Units (RSUs).
(2)  Includes 128 shares held in trust for benefit of reporting person's spouse.
(3)  Stock Options vest in annual one-third (1/3) increments over a three-year period ending October 10, 2020.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
Ebling Keith J.
221 W PHILADELPHIA ST, SUITE 60W
YORK, PA 17401


EVP, Secretary & Gen. Counsel

Signatures
Michael Friedlander, Attorney-In-Fact for Keith J. Ebling 10/12/2017
** Signature of Reporting Person Date


Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.

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