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*
Keller Stephen

(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)
09/22/2023
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)
Principal Financial Officer
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 2,562 D
Common Stock 1,700(1) D
Common Stock 990(2) D
Common Stock 794(3) D
Common Stock 1,547(4) D
Common Stock 207(5) D
Common Stock 3,270(6) 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) (7) 02/25/2030 Common Stock 15,680 $26.5 D
Employee Stock Option (Right to Buy) (8) 02/25/2033 Common Stock 7,850 $38.25 D
Employee Stock Option (Right to Buy) (9) 02/25/2031 Common Stock 11,130 $37.94 D
Employee Stock Option (Right to Buy) (10) 02/25/2032 Common Stock 6,470 $48.52 D
Envista deferred contribution programs - Envista Stock Fund (11) (11) Common Stock 1,211 (11) D
Explanation of Responses:
1. Consists of Restricted Stock Units ("RSU") that will vest as to 850 shares on each of February 25, 2024 and 2025, subject to continued service through each such date. Each RSU will convert on a 1-for-1 basis, in shares of the Issuer's common stock.
2. Consists of RSUs that will vest as to 990 shares on February 25, 2024, subject to continued service through such date.
3. Consists of RSUs that will vest as to 794 shares on August 25, 2024, subject to continued service through such date.
4. Consists of RSUs that will vest as to 773 shares on February 25, 2024 and 774 shares on February 25, 2025, subject to continued service through each such date.
5. Consists of RSUs that will vest as to 103 shares on February 25, 2024 and 104 shares on February 25, 2025, subject to continued service through each such date.
6. Consists of RSUs that were granted on February 25, 2023 and will vest ratably on each anniversary of the date of grant over three years, subject to continued service through each such date.
7. This Option will vest as to 3,136 shares on each of February 25, 2024 and February 2025, subject to continued service through each such date. The remainder of the Option is fully vested.
8. This Option will vest as to 2,616 shares on February 25, 2024 and 2,617 shares on each of February 25, 2025 and 2026, subject to continued service through each such date.
9. This Option will vest as to 3,710 shares on February 25, 2024, subject to continued service through such date. The remainder of the Option is fully vested.
10. This Option will vest as to 2,157 shares on each of February 25, 2024 and 2025, subject to continued service through each such date. The remainder of the Option is fully vested.
11. Consists of shares attributable to the participant's Envista Deferred Contribution Plan ("DCP") account and Envista Excess Contribution Program ("ECP") account. The incremental number of notional phantom shares of Common Stock credited to the participant's DCP or ECP account is based on the incremental amount of contribution to the participant's DCP or ECP account balance divided by the closing price of Common Stock as reported on the NYSE on the date of the contribution. The types of contributions, vesting terms and manner and form of distribution of amounts contributed or deferred under the DCP or ECP are based upon the provisions of the respective plan, which provisions are summarized in the latest Envista Holdings Corporation annual meeting proxy statement on Schedule 14A as filed with the Securities and Exchange Commission.
Remarks:
/s/ Heather L. Turner, By POA from Stephen Keller 10/02/2023
** 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.