SEC Form 4 · accession 0001209191-17-053505
UNITEDHEALTH GROUP INC · UNH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Stephen J Hemsley
Officer — Executive Chair of the Board · Director
Period of report
Sep 19, 2017
Accepted (ET)
Sep 20, 2017 · 5:59 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000731766
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2,F3 | Sep 19, 2017 | A | 510 | $0.00 | A | 1,415,996 | D | |
| Common Stock | holding | — | — | — | 310 | I | by 401(k) | |
| Common StockF4 | holding | — | — | — | 464,482 | I | by GRAT1 | |
| Common Stock | holding | — | — | — | 361,167 | I | by GRAT2 | |
| Common Stock | holding | — | — | — | 366,500 | I | by GRAT3 | |
| Common Stock | holding | — | — | — | 630,000 | I | by GRAT4 |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents dividend equivalents paid on outstanding deferred stock units and restricted stock units. The dividend equivalents are subject to the same terms as the respective underlying units and are forfeited if such units do not vest.
- F2Includes shares received through UnitedHealth Group Incorporated's Employee Stock Purchase Plan.
- F3Includes 257,803 shares transferred from Grantor Retained Annuity Trust #1 to satisfy an annuity payment on August 31, 2017. This transfer was exempt from Section 16 pursuant to Rule 16a-13.
- F4Reflects the transfer of 257,803 shares from Grantor Retained Annuity Trust #1 to the reporting person as noted in footnote 3.