SEC Form 4 · accession 0001122304-16-000300
AETNA INC /PA/ · AET
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Francis S Soistman Jr.
Officer — Exec. VP, Government Services
Period of report
Dec 12, 2016
Accepted (ET)
Dec 14, 2016 · 4:34 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 StockF1,F2 | Dec 12, 2016 | M | 9,125 | — | A | 21,492 | D | |
| Common StockF3 | Dec 12, 2016 | F | 4,645 | $128.27 | D | 16,847 | D | |
| Common StockF4 | holding | — | — | — | 299 | I | By 401(k) Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF2,F5 | — | Dec 12, 2016 | M | 9,125 | D | — | — | Common Stock | 9,125 | 9,126 | D |
Explanation of responses
- F1Represents vesting of previously reported Restricted Stock Units ("RSUs") granted under the Aetna Inc. 2010 Stock Incentive Plan (the "Plan").
- F2Each RSU represents a right to receive one share of Aetna Inc. Common Stock net of taxes.
- F3Represents tax withholding on vesting of previously reported RSUs.
- F4Represents the pro rata portion of the stock portion of Aetna Common Stock Fund held by reporting person on November 30, 2016 pursuant to Aetna Inc. 401(k) Plan. The information is based on information provided by the Plan Trustee as of that date.
- F5RSUs granted under the Plan.