SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Conley Eric

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

(Street)
BREA CA 92821

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/13/2023
3. Issuer Name and Ticker or Trading Symbol
Envista Holdings Corp [ NVST ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP, Orthodontics
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 10,988 D
Common Stock 2,475(1) D
Common Stock 3,517(2) D
Common Stock 7,908(3) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) (4) 05/25/2030 Common Stock 52,120 $18.97 D
Employee Stock Option (Right to Buy) (5) 02/25/2031 Common Stock 19,780 $37.94 D
Employee Stock Option (Right to Buy) (6) 02/25/2032 Common Stock 6,900 $48.52 D
Performance Share Unit (7) (7) Common Stock 3,000 (7) D
Envista deferred contribution programs - Envista Stock Fund (8) (8) Common Stock 1,742 (9) D
Explanation of Responses:
1. Consists of RSUs that were granted on February 25, 2022 and will vest ratably on each anniversary of the date of grant over three years, subject to continued service through each such date.
2. Consists of RSUs that will vest as to 1,758 shares on February 25, 2023 and 1,759 shares on February 25, 2024, subject to continued service through each such date.
3. Consists of RSUs that will vest as to 2,636 shares on May 25, 2023, 2024 and 2025, subject to continued service through each such date.
4. This Option has vested as to 10,424 shares on May 25, 2021 and 2022 and will vest as to 10,424 shares on May 25, 2023, 2024 and 2025, subject to continued service through each such date.
5. This Option has vested as to 6,593 shares on February 25, 2022 and will vest as to 6,593 shares on February 25, 2023 and 6,594 shares on February 25, 2024, subject to continued service through each such date.
6. This Option was granted on February 25, 2022 and will vest ratably on each anniversary of the date of grant over three years, subject to continued service through each such date.
7. Consists of Performance Share Units ("PSUs") that will vest, if at all, based on certification of achievement of identified performance measures over a three-year performance period. The amount reported represents the amount of shares payable at target performance; the Reporting Person could earn 0%-200% of the amount reported depending on the level of performance achieved.
8. Company contributions to the Excess Contribution Program ("ECP") consist of matching contributions (based on amounts the reporting person voluntarily defers into the Envista Deferred Compensation Plan) and/or non-elective contributions. A participant vests in the matching contribution in the ECP made each year on the first anniversary after it is credited to the participant's account. A participant vests in the non-elective contribution in the ECP made each year on the later of the first anniversary after it is credited to the participant's account, or the date the participant has completed three years of service with Envista.
9. The notional shares convert on a one-for-one basis.
Remarks:
Exhibit 24 - Power of Attorney
/s/ Heather Turner, By POA from Eric Conley 02/22/2023
** 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 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).
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.