SEC Form 4 · accession 0001179110-15-011922
DAVITA INC. · DVA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Charles Berg
Director
Period of report
Aug 6, 2015
Accepted (ET)
Aug 10, 2015 · 1:05 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 | Aug 6, 2015 | M | 24,000 | $41.465 | A | 47,030 | D | |
| Common Stock | Aug 6, 2015 | F | 12,364 | $80.49 | D | 34,666 | D | |
| Common StockF1 | Aug 6, 2015 | S | 11,636 | $81.0058 | D | 23,030 | 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 | $41.465 | Aug 6, 2015 | M | 24,000 | D | Jun 6, 2012 | Jun 6, 2016 | Common Stock | 24,000 | 0 | D |
Explanation of responses
- F1Represents the weighted average sale price of $81.0058. The range of prices for the sale of these shares was $80.90 - $81.17, rounded to the nearest hundredths. 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 6/6/2011 and vested 100% on 6/6/2012.