SEC Form 4 · accession 0001179110-17-006797
DAVITA INC. · DVA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Roger Valine
Director
Period of report
May 4, 2017
Accepted (ET)
May 8, 2017 · 2:58 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 4, 2017 | M | 36,000 | $42.465 | A | 36,000 | D | |
| Common Stock | May 4, 2017 | F | 23,006 | $66.45 | D | 12,994 | D | |
| Common StockF1 | May 4, 2017 | S | 12,994 | $66.2126 | D | 0 | D | |
| Common Stock | holding | — | — | — | 19,813 | 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 | $42.465 | May 4, 2017 | M | 36,000 | A | Jun 11, 2013 | Jun 11, 2017 | Common Stock | 36,000 | 0 | D |
Explanation of responses
- F1Represents the weighted average sale price of $66.2126. The range of prices for the sale of these shares was $66.0750 - $66.2950 rounded to the nearest thousandths. 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 6/11/2012, and vested 100% on 6/11/2013.