SEC Form 4 · accession 0001179110-17-008291
USANA HEALTH SCIENCES INC · USNA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Paul A. Jones
Officer — Chief Leadership Devlop Office
Period of report
May 30, 2017
Accepted (ET)
Jun 1, 2017 · 12:55 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 30, 2017 | M | 6,020 | $19.115 | A | 6,020 | D | |
| Common Stock | May 30, 2017 | S | 6,020 | $64.50 | D | 0 | D | |
| Common StockF1 | May 31, 2017 | M | 3,213 | $19.115 | A | 3,213 | D | |
| Common Stock | May 31, 2017 | S | 3,213 | $64.50 | D | 0 | D | |
| Common StockF1 | Jun 1, 2017 | M | 618 | $19.115 | A | 618 | D | |
| Common Stock | Jun 1, 2017 | S | 618 | $64.50 | 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 | $19.115 | May 30, 2017 | M | 8,556 | D | Dec 17, 2013 | Jun 17, 2018 | Common Stock | 8,556 | 19,444 | D |
| Stock Settled Stock Appreciation Rights | $19.115 | May 31, 2017 | M | 4,567 | D | Dec 17, 2013 | Jun 17, 2018 | Common Stock | 4,567 | 14,877 | D |
| Stock Settled Stock Appreciation Rights | $19.115 | Jun 1, 2017 | M | 877 | D | Dec 17, 2013 | Jun 17, 2018 | Common Stock | 877 | 14,000 | D |
Explanation of responses
- F1The shares acquired resulted from reporting person's settlement of the stock-settled stock appreciation rights disclosed in Table-II