SEC Form 4 · accession 0001122304-17-000083
AETNA INC /PA/ · AET
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Roger N Farah
Director
Period of report
Jun 30, 2017
Accepted (ET)
Jul 5, 2017 · 4:05 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 | 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 | — | Jun 30, 2017 | A | 211 | A | — | — | Common Stock | 211 | 16,961 | D |
Explanation of responses
- F1Units accrued under the Aetna Inc. Non-employee Director Compensation Plan (the "Plan") pursuant to the deferral of Director Fees. Subject to terms of the Plan, units may be settled in Aetna Common Stock, in cash, or a combination of both upon the retirement of the Reporting Person.
- F2Units convert to Common Stock on a one-for-one basis.
- F3Includes units accrued under the Plan pursuant to reinvestment of dividend equivalents.