SEC Form 4/A · accession 0001127602-17-018060
Elevance Health, Inc. · ELV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Gloria M McCarthy
Officer — EVP & Chief Transformation Off
Period of report
Apr 3, 2017
Accepted (ET)
May 15, 2017 · 4:23 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001156039
Table I — non-derivative securities
No Table I lines on this filing.
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,F2 | $166.49 | Apr 3, 2017 | A | 4,606 | A | — | Apr 3, 2027 | Common Stock | 4,606 | 4,606 | D |
Explanation of responses
- F1This Form is being amended to correct the Exercise Price of the Employee Stock Option reported on April 5, 2017 to $166.49 from $166.97.
- F2The option represents a right to purchase a total of 4,606 shares, and is exercisable in six semi-annual installments, with two installments of 767 shares each and four installments of 768 shares each, beginning on October 3, 2017, which is the six-month anniversary of the option grant date.