SEC Form 4 · accession 0000927066-17-000003
DAVITA INC. · DVA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeanine Marie Jiganti
Officer — Chief Compliance Officer
Period of report
Jun 13, 2017
Accepted (ET)
Jun 15, 2017 · 5:59 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000927066
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jun 13, 2017 | M | 7,500 | $53.16 | A | 11,014 | D | |
| Common Stock | Jun 13, 2017 | M | 5,200 | $58.94 | A | 16,214 | D | |
| Common Stock | Jun 13, 2017 | F | 10,814 | $65.22 | D | 5,400 | D | |
| Common StockF1 | Jun 13, 2017 | S | 1,886 | $65.5698 | D | 3,514 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Appreciation RightsF2 | $53.16 | Jun 13, 2017 | M | 7,500 | D | Dec 5, 2015 | Dec 5, 2017 | Common Stock | 7,500 | 0 | D |
| Stock Appreciation RightsF3 | $58.94 | Jun 13, 2017 | M | 5,200 | D | Mar 19, 2016 | Mar 19, 2019 | Common Stock | 5,200 | 0 | D |
Explanation of responses
- F1Represents the weighted average sale price of $65.5698. The range of prices for the sale of these shares was $65.5500-$65.5900, rounded to the nearest thousandths. The reporting person undertakes to provide upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price.
- F2The Stock Appreciation Rights were granted on 12/05/2012. 50% vested on 12/05/2015 and the remaining 50% vested on 12/05/2016.
- F3The Stock Appreciation Rights were granted on 3/19/2013. 50% vested on 3/19/2016 and the remaining 50% vested on 3/19/2017.