SEC Form 4 · accession 0001122304-18-000002
AETNA INC /PA/ · AET
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Roger N Farah
Director
Period of report
Dec 29, 2017
Accepted (ET)
Jan 3, 2018 · 4:21 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 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 | — | Dec 29, 2017 | A | 177 | A | — | — | Common Stock | 177 | 17,481 | 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 the 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.