0001214659-17-006769.txt : 20171115
0001214659-17-006769.hdr.sgml : 20171115
20171115210407
ACCESSION NUMBER: 0001214659-17-006769
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170929
FILED AS OF DATE: 20171115
DATE AS OF CHANGE: 20171115
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: VERHOEF CLARENCE R
CENTRAL INDEX KEY: 0001555927
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37860
FILM NUMBER: 171206517
MAIL ADDRESS:
STREET 1: VARIAN MEDICAL SYSTEMS INC
STREET 2: 3100 HANSEN WAY MAIL STOP E327
CITY: PALO ALTO
STATE: CA
ZIP: 95035
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: 0930
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
5
1
marketforms-40121.xml
PRIMARY DOCUMENT
X0306
5
2017-09-29
0
0
0001681622
Varex Imaging Corp
VREX
0001555927
VERHOEF CLARENCE R
C/O VAREX IMAGING CORP
1678 S. PIONEER ROAD
SALT LAKE CITY
UT
84104
false
true
false
false
SVP & Chief Financial Officer
Common Stock
2017-01-20
5
A
false
2230
28.15
A
6348
D
These shares were acquired in connection with the company's separation from Varian Medical Systems, Inc. and were inadvertently omitted from column 5 in the Form 4 dated February 17, 2017.
/s/ Kimberley E. Honeysett, Attorney-in-fact
2017-11-15