SEC Form 5 · accession 0001071739-17-000012
CENTENE CORP · CNC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael F Neidorff
Officer — Chairman, President and CEO · Director
Period of report
Dec 31, 2016
Accepted (ET)
Feb 13, 2017 · 8:43 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001071739
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 23, 2016 | G | 30,000 | $0.00 | D | 3,876,583 | D | |
| Common StockF1 | Dec 27, 2016 | G | 12,500 | $0.00 | D | 3,864,083 | D | |
| Common Stock | holding | — | — | — | 3,600 | I | By Spouse | |
| Common StockF2 | holding | — | — | — | 200,000 | I | By GRAT |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom StockF3,F4 | $0.00 | holding | — | — | — | Feb 11, 2011 | Feb 11, 2011 | Common Stock | 101,138 | 101,138 | D |
| Common Stock Option (right to buy) | $57.02 | holding | — | — | — | Dec 14, 2019 | Dec 14, 2026 | Common Stock | 20,000 | 20,000 | D |
Explanation of responses
- F1Ownership includes previous awards of 553,332 restricted stock units subject to vesting requirements.
- F2Owned by a grantor retained annuity trust of which Mr. Neidorff is the trustee and beneficiary of the annuity.
- F3Each share of phantom stock represents the right to receive the fair market value of one share of Centene common stock.
- F4The phantom stock has no formal expiration date. The phantom stock will be settled in cash or other non-Company securities upon Mr. Neidorff's termination with the Company or on such other date Mr. Neidorff may elect.