SEC Form 4 · accession 0000049071-17-000002
HUMANA INC · HUM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Frank A Damelio
Director
Period of report
Jan 3, 2017
Accepted (ET)
Jan 4, 2017 · 4:18 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000049071
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Humana Common | holding | — | — | — | 0 | D | ||
| Humana CommonF6 | holding | — | — | — | 20,634 | I | See Footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF5 | — | Jan 3, 2017 | A | 761 | A | — | — | Humana Common | 761 | 761 | D |
| Stock UnitF1 | — | holding | — | — | — | — | — | Humana Common | 7,152 | 7,152 | D |
| Stock UnitF2 | — | holding | — | — | — | — | — | Humana Common | 14,025 | 14,025 | D |
| Stock UnitF3 | — | holding | — | — | — | — | — | Humana Common | 2,467 | 2,467 | D |
| Stock UnitF4 | — | holding | — | — | — | — | — | Humana Common | 318 | 318 | D |
Explanation of responses
- F1Annual Director's fee payable in stock units, deferred at the election of the reporting person until his resignation of services as a director at which time the stock units will be payable in Humana Inc. common stock on a 1-for-1 basis, exempt pursuant to Rule 16(b)-3(d)(1) and the total includes the vested portion that was subsequently deferred for years 2013 and later.
- F2Annual Director's fee payable in stock units which have been deferred at the election of the reporting person until his resignation of services as a director at which time the stock units will be payable in Humana Inc. common stock on a 1-for-1 basis (over a five-year period), exempt pursuant to Rule 16(b)-3(d)(1).
- F3Director's cash fee elected to be converted into stock units, deferred at the election of the reporting person until his resignation of services as a director at which time the stock units will be payable in Humana Inc. common stock on a 1-for-1 basis (over a five-year period), exempt pursuant to Rule 16(b)-3(d)(1).
- F4Director's dividend payment reinvested into stock units on vested and deferred stock units, deferred in accordance with the Plan until his resignation of services as a director at which time the deferred dividend stock units will be payable in Humana Inc. common stock on a 1-for-1 basis, exempt pursuant to Rule16(b)-3(d).
- F5Each restricted stock unit represents a contingent right to receive one share of Humana Inc. common stock, exempt under Rule 16b-3(d)(1)&(3) under the Company's 2011 Plan. 100% of the award is vesting on 12/31/2017.
- F6Shares held by reporting person as trustee of Grantor Retained Annuity Trust (GRAT) dated September 21, 2016.