SEC Form 4 · accession 0001127602-16-059617
Elevance Health, Inc. · ELV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ronald W Penczek
Officer — SVP, Chief Accounting Officer
Period of report
Aug 3, 2016
Accepted (ET)
Aug 5, 2016 · 4:04 pm EDT
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 | Aug 3, 2016 | M | 267 | $61.88 | A | 2,407 | D | |
| Common Stock | Aug 3, 2016 | M | 285 | $89.44 | A | 2,692 | D | |
| Common Stock | Aug 3, 2016 | S | 552 | $128.37 | D | 2,140 | 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)F1 | $61.88 | Aug 3, 2016 | M | 267 | D | — | Mar 1, 2020 | Common Stock | 267 | 0 | D |
| Employee Stock Option (Right to Buy)F2 | $89.44 | Aug 3, 2016 | M | 285 | D | — | Mar 3, 2021 | Common Stock | 285 | 571 | D |
Explanation of responses
- F1The option, representing a right to purchase a total of 1,602 shares, became exercisable in six semi-annual installments of 267 shares each beginning on September 1, 2013, which was the six-month anniversary of the date on which the option was granted.
- F2The option, representing a right to purchase a total of 1,711 shares, became exercisable in five semi-annual installments of 285 shares each and one installment of 286 shares beginning on September 3, 2014, which was the six-month anniversary of the date on which the option was granted.