SEC Form 4 · accession 0001179110-15-004467
HEALTH NET INC · HNT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Patrick Foley
Director
Period of report
Mar 4, 2015
Accepted (ET)
Mar 6, 2015 · 8:18 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000916085
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF2 | Mar 4, 2015 | M | 5,378 | $32.59 | A | 39,784 | D | |
| Common StockF3,F2 | Mar 4, 2015 | S | 5,378 | $56.51 | D | 34,406 | D | |
| Common StockF2 | Mar 5, 2015 | M | 2,122 | $32.59 | A | 36,528 | D | |
| Common StockF2 | Mar 5, 2015 | S | 2,122 | $56.66 | D | 34,406 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F4 | $32.59 | Mar 4, 2015 | M | 5,378 | D | — | May 13, 2015 | Common Stock | 5,378 | 2,122 | D |
| Stock Option (Right to Buy)F4 | $32.59 | Mar 5, 2015 | M | 2,122 | D | — | May 13, 2015 | Common Stock | 2,122 | 0 | D |
Explanation of responses
- F1Exercise of a Stock Option (Right to Buy) granted to the Reporting Person on May 13, 2005, under the Issuer's Amended and Restated 1998 Stock Option Plan, as amended (the "2005 Grant"), in a transaction exempt under Rule 16b-3 of the Securities Exchange Act of 1934, as amended.
- F2Includes shares held by The Foley Trust for which the Reporting Person is the sole trustee and beneficiary and has sole voting and dispositive power.
- F3The price reported in Column 4 is a weighted average price. The shares were sold in multiple transactions at prices ranging from $56.50 to $56.54, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth herein.
- F4The 2005 Grant became exercisable in 33 1/3% increments on each of the first, second and third anniversaries of May 13, 2005, the grant date.