SEC Form 4 · accession 0000950138-15-000621
Express Scripts Holding Co. · ESRX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Donald Fotsch
Officer — SVP, Pharm. Serv. & Mem. Exp.
Period of report
Sep 9, 2015
Accepted (ET)
Sep 11, 2015 · 4:07 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001532063
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Sep 9, 2015 | A | 2,990 | $0.00 | A | 6,305 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-Qualified Stock Option (Right-to-Buy)F2 | $83.61 | Sep 9, 2015 | A | 14,505 | A | — | Sep 9, 2025 | Express Scripts Holding Company Common Stock | 14,505 | 14,505 | D |
Explanation of responses
- F1Grant of restricted stock units pursuant to Express Scripts 2011 Long-Term Incentive Plan. Award vests in three equal installments on September 9, 2016, September 9, 2017, and September 9, 2018.
- F2Grant of stock option pursuant to Express Scripts 2011 Long-Term Incentive Plan. Vests in three equal installments on September 9, 2016, September 9, 2017, and September 9, 2018.