0001127602-21-029102.txt : 20211115 0001127602-21-029102.hdr.sgml : 20211115 20211115160718 ACCESSION NUMBER: 0001127602-21-029102 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211112 FILED AS OF DATE: 20211115 DATE AS OF CHANGE: 20211115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ebling Keith J. CENTRAL INDEX KEY: 0001451222 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16211 FILM NUMBER: 211410452 MAIL ADDRESS: STREET 1: C/O DENTSPLY SIRONA INC STREET 2: 13320 BALLANTYNE CORPORATE PLACE CITY: CHARLOTTE STATE: NC ZIP: 28277 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: 13320 BALLANTYNE CORPORATE PLACE CITY: CHARLOTTE STATE: NC ZIP: 28277-3607 BUSINESS PHONE: 844-546-3722 MAIL ADDRESS: STREET 1: 13320 BALLANTYNE CORPORATE PLACE CITY: CHARLOTTE STATE: NC ZIP: 28277-3607 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 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2021-11-12 0000818479 DENTSPLY SIRONA Inc. XRAY 0001451222 Ebling Keith J. 13320 BALLANTYNE CORPORATE PLACE CHARLOTTE NC 28277 1 EVP, Secretary & Gen. Counsel Common Stock 2021-11-12 5 G 0 E 32405 0 D 203 I Debra A Ebling Revocable Trust Common Stock 2021-11-12 5 G 0 E 32405 0 A 32405 I Debra A Ebling Irrevocable Trust Common Stock 45906.662 D Shares were gifted by Reporting Person to an irrevocable trust for the benefit of Reporting Person's spouse. Dane Baumgardner, Attorney-In-Fact for Keith J. Ebling 2021-11-15