SEC Form 4 · accession 0000075252-17-000077
ACCENDRA HEALTH INC/VA/ · ACH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Barbara B Hill
Director
Period of report
May 4, 2017
Accepted (ET)
May 8, 2017 · 4:33 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000075252
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | May 5, 2017 | A | 3,050 | $0.00 | A | 3,746 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom StockF2 | — | May 4, 2017 | A | 60 | A | — | — | Common Stock | 60 | 475 | D |
| Phantom StockF2 | — | May 5, 2017 | A | 1,128 | A | — | — | Common Stock | 1,128 | 1,603 | D |
Explanation of responses
- F1Restricted stock with one year vesting date.
- F2The shares of phantom stock are convertible on a 1-for-1 basis and become payable, in cash or common stock, at the election of the reporting person, upon the occurrence of one of the following (as elected in advance by the reporting person): (a) death, (b) disability, (c) termination of service as director, (d) specified future delivery date, or (e) the earliest to occur of (a), (b), (c) or (d).