SEC Form 4 · accession 0001179110-15-016631
DAVITA INC. · DVA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Laura Mildenberger
Officer — Chief People Officer
Period of report
Dec 17, 2015
Accepted (ET)
Dec 21, 2015 · 8:41 pm EST
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 | Dec 17, 2015 | M | 7,300 | $43.35 | A | 14,110 | D | |
| Common Stock | Dec 17, 2015 | F | 4,645 | $68.13 | D | 9,465 | D | |
| Common StockF1 | Dec 17, 2015 | S | 1,242 | $68.1333 | D | 8,223 | D | |
| Common Stock | Dec 17, 2015 | M | 2,250 | $55.34 | A | 10,473 | D | |
| Common Stock | Dec 17, 2015 | F | 1,828 | $68.13 | D | 8,645 | D | |
| Common Stock | Dec 17, 2015 | S | 198 | $68.15 | D | 8,447 | 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 | $43.35 | Dec 17, 2015 | M | 7,300 | D | Apr 13, 2014 | Apr 13, 2016 | Common Stock | 7,300 | 0 | D |
| Stock Appreciation RightsF3 | $55.34 | Dec 17, 2015 | M | 2,250 | D | Apr 1, 2015 | Dec 18, 2017 | Common Stock | 2,250 | 2,250 | D |
Explanation of responses
- F1Represents the weighted average sale price of $68.1333. The range of prices for the sale of these shares was $68.13 - $68.15, 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 4/13/2011 and 50% vested each on 4/13/2014 and 4/13/2015.
- F3The Stock Appreciation Rights were granted on 12/18/2012 and 50% vested on 4/1/2015.