SEC Form 4 · accession 0001127602-18-026873
Elevance Health, Inc. · ELV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Prakash R Patel
Officer — EVP & President, DBG
Period of report
Sep 4, 2018
Accepted (ET)
Sep 6, 2018 · 4:15 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 | Sep 4, 2018 | A | 1,186 | $0.00 | A | 1,186 | 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 | $263.70 | Sep 4, 2018 | A | 4,993 | A | — | Sep 4, 2028 | Common Stock | 4,993 | 4,993 | D |
Explanation of responses
- F1Represents restricted share units. Restrictions lapse as follows: 395 shares each on 9/4/2019 and 9/4/2020, and 396 shares on 9/4/2021.
- F2The option represents a right to purchase a total of 4,993 shares, and is exercisable in three annual installments, with two installments of 1,664 shares each and one installment of 1,665 shares, beginning on September 4, 2019, which is the one-year anniversary of the option grant date.