SEC Form 4 · accession 0001181431-15-000380
DAVITA INC. · DVA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert J Margolis
Officer — Co-Chairman of the Board · Director
Period of report
Nov 1, 2014
Accepted (ET)
Jan 5, 2015 · 9:33 pm EST
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 | Dec 31, 2014 | A | 208 | $0.00 | A | 208 | D | |
| Common Stock | Dec 31, 2014 | G | 208 | $0.00 | D | 0 | D | |
| Common StockF2 | Dec 31, 2014 | G | 208 | $0.00 | A | 2,692,102 | I | By 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 Rights | $78.07 | Nov 1, 2014 | A | 3,040 | A | Jun 17, 2015 | Nov 1, 2019 | Common Stock | 3,040 | 3,040 | D |
Explanation of responses
- F1Reflects compensation due as of Robert Margolis's start date as a non-employee director on 11/1/2014.
- F2Robert and Lisa Margolis Family Trust, 7/27/2000.
- F3Stock Appreciation Rights, pursuant to the DaVita HealthCare Partners Inc. 2011 Incentive Award Plan, which vest 100% on 6/17/2015.