SEC Form 4 · accession 0001127602-16-064323
Elevance Health, Inc. · ELV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gloria M McCarthy
Officer — EVP & Chief Administrative Off
Period of report
Oct 3, 2016
Accepted (ET)
Oct 5, 2016 · 4:17 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 StockF1 | Oct 3, 2016 | A | 509 | $0.00 | A | 45,749 | 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)F2 | $122.90 | Oct 3, 2016 | A | 2,175 | A | — | Oct 3, 2026 | Common Stock | 2,175 | 2,175 | D |
Explanation of responses
- F1Represents restricted share units. Restrictions lapse as follows: 169 shares on 10/3/17, and 170 shares each on 10/3/18 and 10/3/19.
- F2The option represents a right to purchase a total of 2,175 shares, and is exercisable in six semi-annual installments, with three installments of 362 shares each and three installments of 363 shares each, beginning on April 3, 2017, which is the six-month anniversary of the option grant date.