SEC Form 4 · accession 0001127602-17-031738
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
Nov 7, 2017
Accepted (ET)
Nov 9, 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 Stock | Nov 7, 2017 | M | 217 | $146.93 | A | 1,222 | D | |
| Common Stock | Nov 7, 2017 | M | 405 | $131.80 | A | 1,627 | D | |
| Common Stock | Nov 7, 2017 | M | 356 | $166.97 | A | 1,983 | D | |
| Common Stock | Nov 7, 2017 | S | 978 | $217.42 | 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)F1 | $146.93 | Nov 7, 2017 | M | 217 | D | — | Mar 2, 2025 | Common Stock | 217 | 217 | D |
| Employee Stock Option (Right to Buy)F2 | $131.80 | Nov 7, 2017 | M | 405 | D | — | Mar 1, 2026 | Common Stock | 405 | 1,217 | D |
| Employee Stock Option (Right to Buy)F3 | $166.97 | Nov 7, 2017 | M | 356 | D | — | Mar 1, 2027 | Common Stock | 356 | 1,785 | D |
Explanation of responses
- F1The option represents a right to purchase a total of 1,301 shares, became exercisable in six semi-annual installments, with one installment of 216 shares and five installments of 217 shares each, beginning on September 2, 2015, which was the six-month anniversary of the option grant date.
- F2The option represents a right to purchase a total of 2,432 shares, and is exercisable in six semi-annual installments, with four installments of 405 shares each and two installments of 406 shares each, beginning on September 1, 2016, which is the six-month anniversary of the option grant date.
- F3The option represents a right to purchase a total of 2,141 shares, and is exercisable in six semi-annual installments, with one installment of 356 shares and five installments of 357 shares each, beginning on September 1, 2017, which is the six-month anniversary of the option grant date.