SEC Form 4 · accession 0001179110-16-028777
USANA HEALTH SCIENCES INC · USNA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jim Brown
Officer — Chief Operations Officer
Period of report
Aug 15, 2016
Accepted (ET)
Aug 17, 2016 · 4:20 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 | Aug 15, 2016 | M | 1,513 | $57.62 | A | 1,513 | D | |
| Common StockF2 | Aug 15, 2016 | S | 1,513 | $132.016 | D | 0 | D | |
| Common StockF1 | Aug 15, 2016 | M | 3,787 | $57.62 | A | 3,787 | D | |
| Common StockF3 | Aug 15, 2016 | S | 3,787 | $131.7503 | D | 0 | D | |
| Common Stock | Aug 16, 2016 | M | 3,804 | $57.62 | A | 3,804 | D | |
| Common StockF4 | Aug 16, 2016 | S | 3,804 | $130.7053 | 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 | $57.62 | Aug 15, 2016 | M | 2,686 | D | Aug 15, 2016 | Mar 15, 2018 | Common Stock | 2,686 | 29,814 | D |
| Stock Settled Stock Appreciation Rights | $57.62 | Aug 15, 2016 | M | 6,731 | D | Aug 15, 2016 | Mar 15, 2018 | Common Stock | 6,731 | 23,083 | D |
| Stock Settled Stock Appreciation Rights | $57.62 | Aug 16, 2016 | M | 6,833 | D | Aug 15, 2016 | Mar 15, 2018 | Common Stock | 6,833 | 16,250 | D |
Explanation of responses
- F1The shares acquired resulted from reporting person's settlement of the stock-settled stock appreciation rights disclosed in Table-II
- F2Weighted average price $132.0160. Price range in multiple transactions was $132 to $132.075 inclusively.
- F3Weighted average price $131.7503. Price range in multiple transactions was $131.75 to $131.76 inclusively.
- F4Weighted average price $130.7053. Price range in multiple transactions was $130.34 to $131.215 inclusively.