UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Options (Right to buy) | Â (2) | 11/22/2021 | Common Stock | 3,500 | $ 40.03 | D | Â |
Options (Right to buy) | Â (3) | 11/20/2022 | Common Stock | 7,500 | $ 62.2 | D | Â |
Options (Right to buy) | Â (4) | 11/26/2023 | Common Stock | 5,000 | $ 67.59 | D | Â |
Options (Right to buy) | Â (5) | 11/25/2024 | Common Stock | 10,000 | $ 86 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Augins Michael SIRONA DENTAL SYSTEMS, INC. 30-30 47TH AVENUE, SUITE 500 LONG ISLAND CITY, NY 11101 |
 |  |  Executive Vice President |  |
Michael Augins, by Michael Friedlander, Attorney | 03/11/2015 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The total directly held by the reporting person includes 11,849 RSUs and 2,000 PSUs. |
(2) | Stock options underlying 1,750 shares vested on 11/22/2014 and stock options underlying 1,750 shares will vest on 11/22/2015. |
(3) | Stock options underlying 2,500 shares vested on 11/20/2014 and stock options underlying 2,500 shares will vest on each of 11/20/2015 and 11/20/2016. |
(4) | Stock options vest as follows: 1/4 on 11/26/2014, 1/4 on 11/26/2015, 1/4 on 11/26/2016 and the final 1/4 on 11/26/2017. |
(5) | Stock options shall vest as follows: 1/4 on 11/25/2015, 1/4 on 11/25/2016, 1/5 on 11/25/2017, 1/5 on 11/25/2018 and the final 1/10 on 11/25/2019. |
 Remarks: Exhibit List - Exhibit 24, Power of Attorney |