0001681622-23-000025.txt : 20230213 0001681622-23-000025.hdr.sgml : 20230213 20230213172512 ACCESSION NUMBER: 0001681622-23-000025 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230209 FILED AS OF DATE: 20230213 DATE AS OF CHANGE: 20230213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GUERTIN TIMOTHY E CENTRAL INDEX KEY: 0001217440 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37860 FILM NUMBER: 23620100 MAIL ADDRESS: STREET 1: C/O VARIAN MEDICAL SYSTEMS, INC STREET 2: 3100 HANSEN WAY M/S E-327 CITY: PALO ALTO STATE: CA ZIP: 94304 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Varex Imaging Corp CENTRAL INDEX KEY: 0001681622 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPONENTS, NEC [3679] IRS NUMBER: 813434516 STATE OF INCORPORATION: DE FISCAL YEAR END: 0929 BUSINESS ADDRESS: STREET 1: 1678 S. PIONEER ROAD CITY: SALT LAKE CITY STATE: UT ZIP: 84104 BUSINESS PHONE: 801-972-5000 MAIL ADDRESS: STREET 1: 1678 S. PIONEER ROAD CITY: SALT LAKE CITY STATE: UT ZIP: 84104 4 1 wf-form4_167632709485037.xml FORM 4 X0306 4 2023-02-09 0 0001681622 Varex Imaging Corp VREX 0001217440 GUERTIN TIMOTHY E 1678 S. PIONEER ROAD SALT LAKE CITY UT 84104 1 0 0 0 Common Stock 2023-02-13 4 M 0 4840 A 4840 D Deferred Stock Units 2023-02-09 4 A 0 8483 0 A Common Stock 8483.0 8483 D Deferred Stock Units 2023-02-13 4 M 0 4840 0 D Common Stock 4840.0 0 D Each Deferred Stock Unit converts into common stock on a one-for-one basis. These Deferred Stock Units vest 100% on the earlier of (i) the one-year anniversary of the date of the grant and (ii) the next annual meeting of stockholders that occurs after the date of grant. Vested shares will be delivered to the reporting person upon the earlier of (i) the third anniversary of the date of grant (ii) a change in control or (iii) the reporting person's termination of service for any reason. These Deferred Stock Units vested on February 13, 2021. There was an inadvertently discrepancy in the originally filed Form 4 that showed the distribution date as February 15, 2023. Pursuant to the terms of the applicable grant agreement, delivery of the vested Deferred Stock Units, in the form of common stock, was made on February 13, 2023. /s/ Kimberley Honeysett, attorney-in-fact for Timothy Guertin 2023-02-13