SEC Form 4 · accession 0001122304-16-000179
AETNA INC /PA/ · AET
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Roger N Farah
Director
Period of report
Dec 31, 2015
Accepted (ET)
Jan 5, 2016 · 4:31 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001122304
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| COMMON STOCK | holding | — | — | — | 3,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom Stock UnitsF1,F2,F3 | — | Dec 31, 2015 | A | 250 | A | — | — | COMMON STOCK | 250 | 14,666 | D |
Explanation of responses
- F1Units accrued under the Aetna Inc. Non-employee Director Compensation Plan (the "Plan") pursuant to deferral of Director Fees. Subject to terms of Plan, units may be settled in Aetna Common Stock, in cash or a combination of both upon reporting person's retirement.
- F2Units convert to Common Stock on a one-for-one basis.
- F3Includes units accrued under the Plan pursuant to reinvestment of dividend equivalents.