SEC Form 4 · accession 0001231553-17-000001
AETNA INC /PA/ · AET
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark T Bertolini
Officer — Chairman and CEO
Period of report
Feb 17, 2017
Accepted (ET)
Feb 22, 2017 · 4:25 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 | Feb 21, 2017 | M | 8,894 | — | A | 304,070 | D | |
| Common StockF3 | Feb 21, 2017 | F | 4,362 | $126.34 | D | 299,708 | D | |
| Common StockF4 | holding | — | — | — | 120,000 | I | by Charitable Lead Annuity Trust ("CLAT") | |
| Common StockF5 | holding | — | — | — | 454,071 | I | by Grantor Retained Annuity Trust ("GRAT") |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Appreciation RightsF6 | $125.27 | Feb 17, 2017 | A | 260,037 | A | Feb 17, 2018 | Feb 17, 2027 | Common Stock | 260,037 | 260,037 | D |
| Restricted Stock UnitsF2,F7 | — | Feb 17, 2017 | A | 19,830 | A | — | — | Common Stock | 19,830 | 19,830 | D |
| Restricted Stock UnitsF2,F8 | — | Feb 21, 2017 | M | 8,894 | D | — | — | Common Stock | 8,894 | 17,786 | D |
Explanation of responses
- F1Represents vesting of previously reported Restricted Stock Units granted under the Aetna Inc. 2010 Stock Incentive Plan (the "Plan").
- F2Each Restricted Stock Unit represents a right to receive one share of Aetna Inc. Common Stock net of taxes.
- F3Represents tax withholding on vesting of previously reported Restricted Stock Units.
- F4Represents shares held by CLAT where Reporting Person is investment advisor.
- F5Represents shares held by GRAT where Reporting Person is sole trustee.
- F6Stock Appreciation Rights granted under the Plan, exercisable in three annual installments beginning February 17, 2018.
- F7Restricted Stock Units granted under the Plan vest in three annual installments beginning February 17, 2018.
- F8Restricted Stock Units granted under the Plan.