SEC Form 4 · accession 0001127602-17-010581
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
Mar 3, 2017
Accepted (ET)
Mar 7, 2017 · 4:18 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 3, 2017 | F | 176 | $166.00 | D | 1,448 | D | |
| Common Stock | Mar 3, 2017 | S | 68 | $165.85 | D | 1,380 | D | |
| Common Stock | Mar 3, 2017 | M | 286 | $89.44 | A | 1,666 | D | |
| Common Stock | Mar 3, 2017 | S | 286 | $165.86 | D | 1,380 | D | |
| Common Stock | Mar 6, 2017 | S | 375 | $165.28 | D | 1,005 | 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 | $89.44 | Mar 3, 2017 | M | 286 | D | — | Mar 3, 2021 | Common Stock | 286 | 0 | D |
Explanation of responses
- F1PAYMENT OF TAX LIABILITY BY WITHHOLDING STOCK INCIDENT TO THE VESTING OF PREVIOUSLY GRANTED RESTRICTED STOCK.
- F2The option represents a right to purchase a total of 1,711 shares, and is exercisable in five semi-annual installments of 285 shares each and one installment of 286 shares beginning on September 3, 2014, which is the six-month anniversary of the date on which the option was granted.