SEC Form 4 · accession 0001122304-17-000146
AETNA INC /PA/ · AET
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gary W Loveman
Officer — EVP, Consumer Health & Serv
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 | 13,359 | — | A | 23,034 | D | |
| Common StockF3 | Dec 27, 2017 | F | 6,300 | $180.85 | D | 16,734 | D | |
| Common StockF4,F5 | Dec 27, 2017 | M | 27,830 | — | A | 44,564 | D | |
| Common StockF6 | Dec 27, 2017 | F | 13,122 | $180.85 | D | 31,442 | D | |
| Common StockF9 | holding | — | — | — | 117 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance Stock UnitsF2,F7 | — | Dec 27, 2017 | M | 11,132 | D | — | — | Common Stock | 11,132 | 0 | D |
| Restricted Stock UnitsF5,F8 | — | Dec 27, 2017 | M | 27,830 | D | — | — | Common Stock | 27,830 | 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.
- F9Represents the pro rata portion of the stock portion of Aetna Common Stock Fund held by reporting person on November 30, 2017 pursuant to Aetna Inc. 401(k) Plan. The information is based on information provided by the Plan Trustee as of that date.