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