SEC Form 4 · accession 0001179110-16-026759
DAVITA INC. · DVA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Roger Valine
Director
Period of report
Jun 20, 2016
Accepted (ET)
Jun 22, 2016 · 8:21 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 | holding | — | — | — | 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 RightsF1 | $75.77 | Jun 20, 2016 | A | 5,015 | A | Jun 20, 2017 | Jun 20, 2021 | Common Stock | 5,015 | 5,015 | D |
Explanation of responses
- F1The Stock Appreciation Rights were granted on 6/20/2016. 100% will vest on 6/20/2017.