SEC Form 4 · accession 0001179110-16-024641
DAVITA INC. · DVA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Roger Valine
Director
Period of report
May 12, 2016
Accepted (ET)
May 13, 2016 · 6:03 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 | May 12, 2016 | M | 18,000 | $41.465 | A | 18,324 | D | |
| Common Stock | May 12, 2016 | F | 9,780 | $76.32 | D | 8,544 | D | |
| Common StockF1 | May 12, 2016 | S | 8,220 | $76.3423 | D | 324 | D | |
| Common Stock | holding | — | — | — | 18,104 | I | By Roger J. Valine and Marie Valine Living Trust dated 5/14/1993. |
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 | May 12, 2016 | M | 18,000 | D | Jun 6, 2012 | Jun 6, 2016 | Common Stock | 18,000 | 0 | D |
Explanation of responses
- F1Represents the weighted average sale price of $76.3423. The range of prices for the sale of these shares was $76.16-$76.50 rounded to the nearest hundredth. 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 became fully vested on 6/6/2012.