SEC Form 4 · accession 0001127602-15-010111
Elevance Health, Inc. · ELV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John E Gallina
Officer — SVP & Chief Accounting Officer
Period of report
Mar 2, 2015
Accepted (ET)
Mar 4, 2015 · 5:20 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 StockF1 | Mar 2, 2015 | F | 2,394 | $146.93 | D | 19,808 | D | |
| Common StockF2 | Mar 2, 2015 | A | 1,319 | $0.00 | A | 21,127 | D | |
| Common StockF3 | Mar 3, 2015 | A | 6,985 | $0.00 | A | 28,112 | D | |
| Common StockF1 | Mar 3, 2015 | F | 1,592 | $145.99 | D | 26,520 | D | |
| Common Stock | Mar 3, 2015 | M | 13,333 | $80.81 | A | 39,853 | D | |
| Common Stock | Mar 3, 2015 | M | 2,720 | $65.98 | A | 42,573 | D | |
| Common Stock | Mar 3, 2015 | M | 6,374 | $66.23 | A | 48,947 | D | |
| Common Stock | Mar 3, 2015 | M | 7,895 | $61.88 | A | 56,842 | D | |
| Common Stock | Mar 3, 2015 | M | 3,232 | $89.44 | A | 60,074 | D | |
| Common StockF4,F5 | Mar 3, 2015 | S | 35,054 | $145.19 | D | 25,020 | D | |
| Common Stock | Mar 3, 2015 | G | 408 | $0.00 | D | 24,612 | D | |
| Common StockF4,F6 | Mar 3, 2015 | S | 4,100 | $146.10 | D | 20,512 | D | |
| Common StockF4,F7 | Mar 3, 2015 | S | 400 | $146.82 | D | 20,112 | D | |
| Common Stock | Mar 3, 2015 | S | 2 | $145.99 | D | 20,110 | D |
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)F8 | $146.93 | Mar 2, 2015 | A | 5,775 | A | — | Mar 2, 2025 | Common Stock | 5,775 | 5,775 | D |
| Employee Stock Option (Right to Buy)F9 | $80.81 | Mar 3, 2015 | M | 13,333 | D | — | Mar 1, 2017 | Common Stock | 13,333 | 0 | D |
| Employee Stock Option (Right to Buy)F10 | $65.98 | Mar 3, 2015 | M | 2,720 | D | — | Mar 1, 2018 | Common Stock | 2,720 | 0 | D |
| Employee Stock Option (Right to Buy)F11 | $66.23 | Mar 3, 2015 | M | 6,374 | D | — | Mar 1, 2019 | Common Stock | 6,374 | 0 | D |
| Employee Stock Option (Right to Buy)F12 | $61.88 | Mar 3, 2015 | M | 7,895 | D | — | Mar 1, 2020 | Common Stock | 7,895 | 3,948 | D |
| Employee Stock Option (Right to Buy)F13 | $89.44 | Mar 3, 2015 | M | 3,232 | D | — | Mar 3, 2021 | Common Stock | 3,232 | 6,466 | D |
Explanation of responses
- F1PAYMENT OF TAX LIABILITY BY WITHHOLDING STOCK INCIDENT TO THE VESTING OF PREVIOUSLY GRANTED RESTRICTED STOCK.
- F10The option, representing a right to purchase a total of 8,158 shares, became exercisable in two equal semi-annual installments of 1,359 shares each and four equal semi-annual installments of 1,360 shares each beginning on September 1, 2011, which is the six-month anniversary of the date on which the option was granted.
- F11)The option, representing a right to purchase a total of 9,560 shares, became exercisable in four equal semi-annual installments of 1,593 shares each and two equal semi-annual installments of 1,594 shares each beginning on September 1, 2012, which was the six-month anniversary of the date on which the option was granted.
- F12The option, representing a right to purchase a total of 11,843 shares, became exercisable in one installment of 1,973 shares and five equal semi-annual installments of 1,974 shares each beginning on September 1, 2013, which was the six-month anniversary of the date on which the option was granted.
- F13The option, representing a right to purchase a total of 9,698 shares, became exercisable in four equal semi-annual installments of 1,616 shares each and two equal semi-annual installments of 1,617 shares each beginning on September 3, 2014, which was the six-month anniversary of the date on which the option was granted.
- F2Represents restricted stock units. Restrictions lapse as follows: 439 on 3/2/16; and 440 each on 3/2/17 and 3/2/18.
- F3Represents performance based restricted stock units. Restrictions lapse as follows: 2,328 each on 3/3/15 and 3/3/16; and 2,329 on 3/3/17.
- F4The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on November 14, 2014.
- F5This transaction was executed in multiple trades at prices ranging from $144.65 to $145.64. 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.
- F6This transaction was executed in multiple trades at prices ranging from $145.65 to $146.62. 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.
- F7This transaction was executed in multiple trades at prices ranging from $146.78 to $146.85. 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.
- F8The option, representing a right to purchase a total of 5,775 shares, is exercisable in three equal semi-annual installments of 962 shares each and three equal semi-annual installments of 963 shares each beginning on September 2, 2015, which is the six-month anniversary of the date on which the option was granted.
- F9The option, representing a right to purchase a total of 13,333 shares, became exercisable in five equal semi-annual installments of 2,222 shares each and one equal semi-annual installment of 2,223 shares beginning on September 1, 2007, which was the six-month anniversary of the date on which the option was granted