SEC Form 4 · accession 0001179110-16-024913
DAVITA INC. · DVA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Leanne M Zumwalt
Officer — Grp VP, Purch & Public Affairs
Period of report
May 13, 2016
Accepted (ET)
May 17, 2016 · 6:51 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 | holding | — | — | — | 9,123 | D | ||
| Common Stock | holding | — | — | — | 807 | I | By Zumwalt 2000 Family Trust |
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 | $75.42 | May 13, 2016 | A | 26,459 | A | May 13, 2019 | May 13, 2021 | Common Stock | 26,459 | 26,459 | D |
Explanation of responses
- F1This amount includes 55 shares acquired through Issuer's 401(k) Retirement Plan.
- F2The Stock Appreciation Rights were granted on 5/13/2016. 50% will vest on 5/13/2019 and the remaining 50% will vest on 5/13/2020.