SEC Form 4 · accession 0001181431-15-000537
DAVITA INC. · DVA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael David Staffieri
Officer — COO, Kidney Care
Period of report
Jan 2, 2014
Accepted (ET)
Jan 6, 2015 · 7:35 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 | Jan 2, 2015 | M | 17,000 | $31.70 | A | 17,000 | D | |
| Common Stock | Jan 2, 2015 | F | 7,116 | $75.74 | D | 9,884 | D | |
| Common StockF2 | Jan 2, 2015 | S | 9,884 | $75.5242 | D | 0 | D | |
| Common Stock | Jan 2, 2015 | M | 80,000 | $34.515 | A | 80,000 | D | |
| Common Stock | Jan 2, 2015 | F | 36,457 | $75.74 | D | 43,543 | D | |
| Common StockF3 | Jan 2, 2015 | S | 43,543 | $75.8282 | D | 0 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Appreciation RightsF4 | $31.70 | Jan 2, 2015 | M | 17,000 | D | Mar 31, 2012 | Mar 31, 2015 | Common Stock | 17,000 | 0 | D |
| Stock Appreciation RightsF5 | $34.515 | Jan 2, 2015 | M | 80,000 | D | Sep 30, 2011 | Sep 30, 2015 | Common Stock | 80,000 | 40,000 | D |
Explanation of responses
- F1The sales reported on this Form 4 were affected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on November 18, 2014.
- F2Represents the weighted average sale price of $75.5242. The range of prices for the sale of these shares was $75.47 - $75.60, rounded to the nearest hundredths. 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 purchased or sold at each separate price.
- F3Represents the weighted average sale price of $75.8282. The range of prices for the sale of these shares was $75.60 - $76.31, rounded to the nearest hundredths. 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 purchased or sold at each separate price.
- F4Stock Appreciation Rights, granted on 3/31/10, pursuant to the DaVita Inc. 2002 Equity Compensation Plan, (as amended and restated, the "DaVita HealthCare Partners Inc. 2011 Incentive Award Plan," effective June 6, 2011), which vested 33.3% on the second anniversary of the grant date, and 8.33% every 3 months thereafter.
- F5Stock Appreciation Rights, granted on 9/30/2010, pursuant to the DaVita Inc. 2002 Equity Compensation Plan, (as amended and restated, the "DaVita HealthCare Partners Inc. 2011 Incentive Award Plan," effective June 6, 2011), which vested 25% on the first anniversary of the grant date, then 6.25% every three months thereafter.