0001681622-21-000025.txt : 20210216 0001681622-21-000025.hdr.sgml : 20210216 20210216200519 ACCESSION NUMBER: 0001681622-21-000025 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210211 FILED AS OF DATE: 20210216 DATE AS OF CHANGE: 20210216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chertoff Jocelyn D CENTRAL INDEX KEY: 0001701927 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37860 FILM NUMBER: 21642059 MAIL ADDRESS: STREET 1: 1678 S. PIONEER ROAD CITY: SALT LAKE CITY STATE: UT ZIP: 84104 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: 1002 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_161352389691622.xml FORM 4 X0306 4 2021-02-11 0 0001681622 Varex Imaging Corp VREX 0001701927 Chertoff Jocelyn D C/O VAREX IMAGING CORP. 1678 S. PIONEER ROAD SALT LAKE CITY UT 84104 1 0 0 0 Common Stock 2021-02-11 4 M 0 4312 A 8999 D Deferred Stock Units 2021-02-11 4 A 0 6881 0 A Common Stock 6881.0 6881 D Deferred Stock Units 2021-02-11 4 M 0 4312 0 D Common Stock 4312.0 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 date of the first annual meeting following the date of grant. Vested shares will be delivered to the reporting person upon the earlier of (i) 2024 Annual Meeting (ii) a change in control or (iii) the reporting person's termination of service for any reason. These Deferred Stock Units vested on February 15, 2019. 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 15, 2021. /s/ Matthew C. Lowell attorney-in-fact 2021-02-16