0000899243-16-014931.txt : 20160301 0000899243-16-014931.hdr.sgml : 20160301 20160301191829 ACCESSION NUMBER: 0000899243-16-014931 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160229 FILED AS OF DATE: 20160301 DATE AS OF CHANGE: 20160301 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SIRONA DENTAL SYSTEMS, INC. CENTRAL INDEX KEY: 0001014507 STANDARD INDUSTRIAL CLASSIFICATION: DENTAL EQUIPMENT & SUPPLIES [3843] IRS NUMBER: 113374812 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 30-30 47TH AVE STREET 2: SUITE 500 CITY: LONG ISLAND CITY STATE: NY ZIP: 11101 BUSINESS PHONE: 7189375765 MAIL ADDRESS: STREET 1: 30-30 47TH AVE STREET 2: SUITE 500 CITY: LONG ISLAND CITY STATE: NY ZIP: 11101 FORMER COMPANY: FORMER CONFORMED NAME: SCHICK TECHNOLOGIES INC DATE OF NAME CHANGE: 19970425 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SULLIVAN TIMOTHY P CENTRAL INDEX KEY: 0001245970 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22673 FILM NUMBER: 161475219 MAIL ADDRESS: STREET 1: THREE FIRST NATIONAL PLZ STREET 2: SUITE 3800 CITY: CHICAGO STATE: IL ZIP: 60602 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-02-29 1 0001014507 SIRONA DENTAL SYSTEMS, INC. SIRO 0001245970 SULLIVAN TIMOTHY P MADISON DEARBORN PARTNERS, LLC THREE FIRST NATIONAL PLAZA, SUITE 4600 CHICAGO IL 60602 1 0 0 0 Common Stock 2016-02-29 4 D 0 12115 D 0 D Includes 3,860 restricted stock units ("RSU"). Pursuant to the Merger Agreement (as defined below) and a resolution of Sirona's board of directors, the RSUs accelerated and vested in full at the effective time of the Merger (as defined below). On February 29, 2016, pursuant to an Agreement and Plan of Merger, dated as of September 15, 2015 (the "Merger Agreement"), by and among Sirona Dental Systems, Inc. ("Sirona"), DENTSPLY International Inc. ("DENTSPLY") and Dawkins Merger Sub Inc., a wholly owned subsidiary of DENTSPLY ("Merger Sub"), Merger Sub merged with and into Sirona, with Sirona continuing as the surviving entity and a wholly owned subsidiary of DENTSPLY (the "Merger"). Upon completion of the Merger, DENTSPLY changed its corporate name to "DENTSPLY SIRONA Inc." Disposed of pursuant to the Merger Agreement in which each share of Sirona common stock issued and outstanding immediately prior to the consummation of the Merger was converted into 1.8142 shares of DENTSPLY common stock, rounded down to the nearest whole share. /s/ Timothy P. Sullivan 2016-03-01