SEC Form 4/A · accession 0000075252-17-000103
ACCENDRA HEALTH INC/VA/ · ACH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
David S Simmons
Director
Period of report
Jun 30, 2017
Accepted (ET)
Jul 6, 2017 · 10:18 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000075252
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom StockF2,F1 | — | Jun 30, 2017 | A | 24 | A | — | — | Common Stock | 24 | 3,074 | D |
Explanation of responses
- F1The 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).
- F2Shares acquired through quarterly dividend reinvestment transaction.
Remarks
Form 4 was amended to include acquisition of phantom stock which was omitted from Table II in the original filing.