SEC Form 4 · accession 0001181431-15-007946
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
Jun 2, 2015
Accepted (ET)
Jun 4, 2015 · 9:17 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 | Jun 2, 2015 | A | 2,984 | $0.00 | A | 8,910 | D | |
| Common StockF2 | holding | — | — | — | 807 | 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 | $83.82 | Jun 2, 2015 | A | 11,936 | A | Jun 2, 2018 | Jun 2, 2020 | Common Stock | 11,936 | 11,936 | D |
Explanation of responses
- F1Restricted Stock Units granted on 6/2/2015, which vest 50% each on 6/2/2018 and 6/2/2019.
- F2Zumwalt 2000 Family Trust.
- F3Stock Appreciation Rights granted on 6/2/2015, which vest 50% each on 6/2/2018 and 6/2/2019.