0001209191-17-006528.txt : 20170131 0001209191-17-006528.hdr.sgml : 20170131 20170131211238 ACCESSION NUMBER: 0001209191-17-006528 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170128 FILED AS OF DATE: 20170131 DATE AS OF CHANGE: 20170131 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: 800-432-4422 MAIL ADDRESS: STREET 1: 1678 S. PIONEER ROAD CITY: SALT LAKE CITY STATE: UT ZIP: 84104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: VARIAN MEDICAL SYSTEMS INC CENTRAL INDEX KEY: 0000203527 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37860 FILM NUMBER: 17562871 BUSINESS ADDRESS: STREET 1: 3100 HANSEN WAY CITY: PALO ALTO STATE: CA ZIP: 94304-1000 BUSINESS PHONE: 650-424-5834 MAIL ADDRESS: STREET 1: 3100 HANSEN WAY CITY: PALO ALTO STATE: CA ZIP: 94304-1000 FORMER NAME: FORMER CONFORMED NAME: VARIAN ASSOCIATES INC /DE/ DATE OF NAME CHANGE: 19920703 FORMER NAME: FORMER CONFORMED NAME: VARIAN DELAWARE INC DATE OF NAME CHANGE: 19761123 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-01-28 1 0001681622 Varex Imaging Corp VREX 0000203527 VARIAN MEDICAL SYSTEMS INC 3100 HANSEN WAY PALO ALTO CA 94304 0 0 1 0 Common Stock 2017-01-28 4 J 0 37386730 0.00 D 0 D The reporting person distributed such shares of Varex Imaging Corporation common stock to its stockholders on a pro rata basis. This Form 4 is being filed in connection with the separation of Varex Imaging Corporation from Varian Medical Systems, Inc. Prior to the distribution reported hereunder, the 100 shares of Varex Imaging Corporation's Common Stock that were previously held by Varian Medical Systems Inc. were subdivided and converted into a number of shares of validly issued, fully paid and non-assessable shares of Varex Imaging Corporation Common Stock equal to the number of shares of common stock, par value $1.00, of Varian Medical Systems, Inc. that were issued and outstanding as of the effective time of the distribution transaction, divided by two hundred fifty (250). /s/ John W. Kuo, Senior Vice President, General Counsel and Corporate Secretary of Varian Medical Systems, Inc. 2017-01-31