SEC Form 4 · accession 0001122304-16-000239
AETNA INC /PA/ · AET
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas J Sabatino Jr.
Officer — EVP and General Counsel
Period of report
May 10, 2016
Accepted (ET)
May 12, 2016 · 6:18 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001122304
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Appreciation RightF1 | $114.46 | May 10, 2016 | A | 64,086 | A | May 10, 2017 | May 9, 2026 | Common Stock | 64,086 | 64,086 | D |
| Stock Appreciation RightF1 | $114.46 | May 10, 2016 | A | 39,237 | A | May 10, 2017 | May 9, 2026 | Common Stock | 39,237 | 39,237 | D |
| Restricted Stock UnitsF2,F3 | — | May 10, 2016 | A | 21,842 | A | — | — | Common Stock | 21,842 | 21,842 | D |
Explanation of responses
- F1Stock Appreciation Right granted under the Aetna Inc. 2010 Stock Incentive Plan (the "Plan"), exercisable in three equal annual installments beginning May 10, 2017.
- F2Each Restricted Stock Unit represents a right to receive one share of Aetna Inc. Common Stock net of taxes.
- F3Restricted Stock Units granted under the Plan, units will vest in full on May 10, 2018.