SEC Form 4 · accession 0001179110-16-021736
DAVITA INC. · DVA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Charles Berg
Director
Period of report
Mar 14, 2016
Accepted (ET)
Mar 16, 2016 · 1:50 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 StockF1 | Mar 14, 2016 | G | 14,095 | $0.00 | D | 9,604 | D | |
| Common StockF2 | holding | — | — | — | 14,095 | I | By Charles G. Berg 2016 Family Trust U/A DTD 02/05/2016 |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These shares are being transferred to Charles G. Berg 2016 Family Trust U/A DTD 02/05/2016.
- F2These shares are held in a trust for the benefit of the reporting person's children. The reporting person's spouse is trustee of the trust.