SEC Form 4 · accession 0001179110-15-008468
USANA HEALTH SCIENCES INC · USNA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ronald S Poelman
Director
Period of report
May 20, 2015
Accepted (ET)
May 22, 2015 · 4:03 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000896264
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | May 20, 2015 | M | 1,570 | $28.16 | A | 1,570 | D | |
| Common Stock | May 20, 2015 | S | 1,570 | $131.00 | D | 0 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock-Settled Stock Appreciation Rights | $28.16 | May 20, 2015 | M | 2,000 | D | Jul 1, 2013 | Sep 30, 2015 | Common Stock | 2,000 | 0 | D |
Explanation of responses
- F1The shares acquired resulted from the reporting person's settlement of the stock-settled stock appreciation rights disclosed in Table II.