SEC Form 4 · accession 0001127602-15-007403
Elevance Health, Inc. · ELV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kenneth R Goulet
Officer — EVP, Commercial & Specialty
Period of report
Feb 18, 2015
Accepted (ET)
Feb 20, 2015 · 4:16 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001156039
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Feb 18, 2015 | M | 72,805 | $70.80 | A | 143,870 | D | |
| Common StockF1 | Feb 18, 2015 | S | 65,205 | $141.48 | D | 78,665 | D | |
| Common StockF2 | Feb 18, 2015 | S | 7,600 | $142.35 | D | 71,065 | D | |
| Common StockF3,F4 | holding | — | — | — | 5,969 | I | Stock Units Held In 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy)F5 | $70.80 | Feb 18, 2015 | M | 72,805 | D | — | Mar 3, 2015 | Common Stock | 72,805 | 0 | D |
Explanation of responses
- F1This transaction was executed in multiple trades at prices ranging from $141.06 to $142.05. The price reported reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- F2This transaction was executed in multiple trades at prices ranging from $142.06 to $142.60. The price reported reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- F3Includes units acquired under ANTM's Qualified 401(k) Plan (which represent 41.41 shares of ANTM common stock) since the date of the reporting person's last ownership report.
- F4The information in this report is based on the plan trustee's calculation of stock units held as of 2/18/15.
- F5The option, representing a right to purchase a total of 72,805 shares, became exercisable in five equal semi-annual installments of 12,134 shares each and one semi-annual installment of 12,135 shares beginning on September 3, 2008, which was the six-month anniversary of the date on which the option was granted.