0001660690-19-000117.txt : 20190827 0001660690-19-000117.hdr.sgml : 20190827 20190827165051 ACCESSION NUMBER: 0001660690-19-000117 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190827 FILED AS OF DATE: 20190827 DATE AS OF CHANGE: 20190827 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CROISETIERE JACQUES M CENTRAL INDEX KEY: 0001037839 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37664 FILM NUMBER: 191058069 MAIL ADDRESS: STREET 1: C/O MORTON INTERNATIONAL INC STREET 2: 100 N RIVERSIDE PLZ CITY: CHICAGO STATE: IL ZIP: 60606 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Versum Materials, Inc. CENTRAL INDEX KEY: 0001660690 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS CHEMICAL PRODUCTS [2890] IRS NUMBER: 475632014 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 8555 SOUTH RIVER PARKWAY CITY: TEMPE STATE: AZ ZIP: 85284 BUSINESS PHONE: 602-282-1000 MAIL ADDRESS: STREET 1: 8555 SOUTH RIVER PARKWAY CITY: TEMPE STATE: AZ ZIP: 85284 FORMER COMPANY: FORMER CONFORMED NAME: Versum Materials, LLC DATE OF NAME CHANGE: 20151210 4 1 wf-form4_156693903552439.xml FORM 4 X0306 4 2019-08-27 0 0001660690 Versum Materials, Inc. VSM 0001037839 CROISETIERE JACQUES M VERSUM MATERIALS, INC. 8555 SOUTH RIVER PARKWAY TEMPE AZ 85284 1 0 0 0 Common Stock 2019-08-27 4 A 0 4.812 0 A 19729.572 D Represents dividend equivalent rights that accrued with respect to restricted stock unit awards previously reported under Table 1, which were granted pursuant to the Versum Materials, Inc. Long-Term Incentive Plan and the terms of the applicable award agreement, and will vest with the restricted stock units to which they relate. /s/ Scott J. Depta, as attorney-in-fact 2019-08-27