SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Eriksson Patrik

(Last) (First) (Middle)
C/O ENVISTA HOLDINGS CORPORATION
200 S. KRAEMER BLVD, BLDG. E

(Street)
BREA CA 92821

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Envista Holdings Corp [ NVST ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SENIOR VICE PRESIDENT
3. Date of Earliest Transaction (Month/Day/Year)
12/18/2019
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 12/18/2019 A 55,016(1) A $0.00 67,971(2) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy)(3) $12.62 12/18/2019 A 4,914 (4) 02/24/2025 Common Stock 4,914 $0.00 4,914 D
Employee Stock Option (Right to Buy)(3) $12.65 12/18/2019 A 14,654 (5) 02/24/2026 Common Stock 14,654 $0.00 14,654 D
Employee Stock Option (Right to Buy)(3) $16.51 12/18/2019 A 20,033 (6) 02/24/2027 Common Stock 20,033 $0.00 20,033 D
Employee Stock Option (Right to Buy)(3) $19.04 12/18/2019 A 32,240 (7) 02/24/2028 Common Stock 32,240 $0.00 32,240 D
Employee Stock Option (Right to Buy)(3) $19.04 12/18/2019 A 40,327 (8) 02/24/2028 Common Stock 40,327 $0.00 40,327 D
Employee Stock Option (Right to Buy)(3) $21.76 12/18/2019 A 38,344 (9) 02/24/2029 Common Stock 38,344 $0.00 38,344 D
Employee Stock Option (Right to Buy)(3) $21.76 12/18/2019 A 38,344 (10) 02/24/2029 Common Stock 38,344 $0.00 38,344 D
Explanation of Responses:
1. These are restricted stock units ("RSUs") that were originally granted by Danaher Corporation ("Danaher") and, in connection with Issuer's separation from Danaher on December 18, 2019 (the "Separation") and pursuant to the terms of the Employee Matters Agreement, dated as of September 19, 2019, by and between Danaher and Issuer (the "Employee Matters Agreement"), were adjusted into RSUs relating to shares of Issuer common stock.
2. Includes 7,955 RSUs that were previously reported in Table II.
3. These Options were originally granted by Danaher and, pursuant to the terms of the Employee Matters Agreement, were adjusted into Options relating to shares of Issuer common stock in connection with the Separation.
4. This Option will vest as to 4,914 shares of Issuer common stock on February 24, 2020, subject to continued service through such date. The remainder of the Option is fully vested.
5. This Option will vest as to 7,327 shares of Issuer common stock on each of February 24, 2020 and February 24, 2021, subject to continued service through each such date. The remainder of the Option is fully vested.
6. This Option will vest as to 6,677 shares of Issuer common stock on each of February 24, 2020 and February 24, 2021 and as to 6,679 shares of Issuer common stock on February 24, 2022, subject to continued service through each such date. The remainder of the Option is fully vested.
7. This Option will vest as to 6,448 shares of Issuer common stock on each of February 24, 2020, February 24, 2021, February 24, 2022 and February 24, 2023, subject to continued service through each such date. The remainder of the Option is fully vested.
8. This Option will vest as to 8,065 shares of Issuer common stock on each of February 24, 2020, February 24, 2021 and February 24, 2022 and as to 8,067 shares of Issuer common stock on February 24, 2023, subject to continued service through each such date. The remainder of the Option is fully vested.
9. This Option will vest as to 7,668 shares of Issuer common stock on each of February 24, 2020, February 24, 2021, February 24, 2022 and February 24, 2023 and as to 7,672 shares of Issuer common stock on February 24, 2024, subject to continued service through each such date.
10. This Option will vest as to 7,668 shares of Issuer common stock on each of February 24, 2020, February 24, 2021, February 24, 2022 and February 24, 2023 and as to 7,672 shares of Issuer common stock on February 24, 2024, subject to continued service through each such date.
Remarks:
/s/ Heather Turner, Attorney-in-Fact 12/20/2019
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.