Amended Statement of Changes in Beneficial Ownership (4/a)
14 Januar 2021 - 12:01AM
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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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
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GUERTIN TIMOTHY E |
2. Issuer Name and Ticker or Trading Symbol
Varex Imaging Corp
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VREX
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
1678 S. PIONEER ROAD |
3. Date of Earliest Transaction
(MM/DD/YYYY)
11/20/2020 |
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(Street)
SALT LAKE CITY, UT 84104
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
10/6/2020 |
6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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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 |
| Deferred Stock Units | (1) | 11/20/2020 (2) | | A | | 4840 | | (3) | (3) | Common Stock | 4840.0 (2) | $0 | 4840 (2) | D | |
| Explanation of Responses: |
| (1) | Each Deferred Stock Unit converts into common stock on a one-for-one basis. |
| (2) | In accordance with the Company's director compensation policy, Mr. Guertin's initial DSU award was made on November 20, 2020, and not the date originally reported. Consequently, this Form 4/A is being filed to correct the grant date and number of DSU's awarded. |
| (3) | These Deferred Stock Units vest in full on the date of the next annual meeting (February 11, 2021) subject to the reporting person serving on the board of the company through the vesting date. Vested shares will be delivered to the reporting person upon the earlier of (i) February 15, 2023 (ii) a change in control, (iii) the non-employee director termination of service for any reason. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
GUERTIN TIMOTHY E
1678 S. PIONEER ROAD
SALT LAKE CITY, UT 84104 | X |
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Signatures
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| /s/ Timothy E. Guertin | | 1/13/2021 |
| **Signature of Reporting Person | Date |
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