SEC Form 4 · accession 0001122304-17-000046
AETNA INC /PA/ · AET
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark T Bertolini
Officer — Chairman and CEO · Director
Period of report
May 16, 2017
Accepted (ET)
May 18, 2017 · 4:49 pm EDT
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 | May 16, 2017 | M | 308,642 | $48.65 | A | 659,888 | D | |
| Common StockF1 | May 16, 2017 | F | 205,095 | $141.86 | D | 454,793 | D | |
| Common StockF2 | May 17, 2017 | S | 102,027 | $140.7842 | D | 352,766 | D | |
| Common StockF3 | May 17, 2017 | S | 1,520 | $141.2723 | D | 351,246 | D | |
| Common StockF4,F5 | holding | — | — | — | 295,436 | I | By 2016 GRAT | |
| Common StockF6,F5 | holding | — | — | — | 158,635 | I | By 2017 GRAT | |
| Common StockF7 | holding | — | — | — | 120,000 | I | by 2016 CLAT |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Appreciation Right | $48.65 | May 16, 2017 | M | 308,642 | D | Jul 27, 2008 | Jul 26, 2017 | Common Stock | 308,642 | 0 | D |
Explanation of responses
- F1Stock Appreciation Right is net settled; amount represents withholding of shares by the Company to pay exercise price and taxes.
- F2The price reported is average weighted share price. These shares were sold in multiple transactions at prices ranging from $140.24 to $141.235, inclusive.
- F3The price reported is average weighted share price. These shares were sold in multiple transactions at prices ranging from $141.24 to $141.35, inclusive.
- F4On May 12, 2017, 158,635 shares were transferred to sole account to satisfy 2016 Grantor Retained Annuity Trust ("GRAT") annuity obligation.
- F5Represents shares held in GRAT where Mr. Bertolini is sole trustee.
- F6On May 16, 2017, 158,635 shares from sole account were voluntarily transferred to 2017 GRAT.
- F7Represents shares held in Charitable Lead Annuity Trust ("CLAT") where Mr. Bertolini is investment advisor.