SEC Form 4 · accession 0001122304-17-000145
AETNA INC /PA/ · AET
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard M Jelinek
Officer — EVP, Enterprise Strategy
Period of report
Dec 27, 2017
Accepted (ET)
Dec 29, 2017 · 4:05 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 27, 2017 | M | 2,732 | — | A | 2,900 | D | |
| Common StockF3 | Dec 27, 2017 | F | 1,410 | $180.85 | D | 1,490 | D | |
| Common StockF4,F5 | Dec 27, 2017 | M | 26,011 | — | A | 27,501 | D | |
| Common StockF6,F9 | Dec 27, 2017 | F | 13,414 | $180.85 | D | 14,087 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance Stock UnitsF2,F7 | — | Dec 27, 2017 | M | 2,276 | D | — | — | Common Stock | 2,276 | 0 | D |
| Restricted Stock UnitsF5,F8 | — | Dec 27, 2017 | M | 26,011 | D | — | — | Common Stock | 26,011 | 0 | D |
Explanation of responses
- F1Represents vesting of previously reported Performance Stock Units (PSUs) granted under the 2010 Stock Incentive Plan (the "Plan").
- F2Each Performance Stock Unit represents a right to receive up to two shares of Aetna Inc. Common Stock net of taxes.
- F3Represents tax withholding on vesting of previously reported PSUs.
- F4Represents vesting of previously reported Restricted Stock Units (RSUs) granted under the Plan.
- F5Each Restricted Stock Unit represents a right to receive one share of Aetna Inc. Common Stock net of taxes.
- F6Represents tax withholding on vesting of previously reported RSUs.
- F7PSUs granted under the Plan.
- F8RSUs granted under the Plan.
- F9Includes 168 shares acquired under the Aetna Inc. 2016 Employee Stock Purchase Plan on December 1, 2017