SEC Form 4 · accession 0001127602-17-010201
Elevance Health, Inc. · ELV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brian T Griffin
Officer — EVP & President, CSBD
Period of report
Mar 1, 2017
Accepted (ET)
Mar 3, 2017 · 4:41 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 1, 2017 | F | 706 | $166.97 | D | 19,956 | D | |
| Common StockF2 | Mar 1, 2017 | A | 4,867 | $0.00 | A | 24,823 | D | |
| Common StockF1 | Mar 2, 2017 | F | 213 | $165.97 | D | 24,610 | D | |
| Common StockF3 | holding | — | — | — | 14,417 | I | 2016 GRAT II Trust | |
| Common StockF3 | holding | — | — | — | 13,298 | I | 2016 GRAT II Trust |
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)F4 | $166.97 | Mar 1, 2017 | A | 19,908 | A | — | Mar 1, 2027 | Common Stock | 19,908 | 19,908 | D |
Explanation of responses
- F1PAYMENT OF TAX LIABILITY BY WITHHOLDING STOCK INCIDENT TO THE VESTING OF PREVIOUSLY GRANTED RESTRICTED STOCK.
- F2Represents restricted share units. Restrictions lapse as follows: 1,622 shares each on 3/1/2018 and 3/1/2019, and 1,623 on 3/1/2020.
- F3The previous balances in the reporting persons GRAT trusts: 2008 shares in 2014 GRAT and 17,917 shares in 2015 GRAT, have been redistributed to the following: 14,417 shares in 2016 GRAT II and 13,298 shares in 2016 GRAT II, which also includes 7,790 shares previously reported as directly held shares.
- F4The option represents a right to purchase a total of 19,908 shares, and is exercisable in six semi-annual installments of 3,318 shares each, beginning on September 1, 2017, which is the six-month anniversary of the option grant date.