SEC Form 4 · accession 0001181431-15-008471
DAVITA INC. · DVA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Roger Valine
Director
Period of report
Jun 16, 2015
Accepted (ET)
Jun 18, 2015 · 8:47 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 | — | — | — | 4,845 | D | ||
| Common StockF2 | holding | — | — | — | 12,291 | 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 RightsF1 | $81.51 | Jun 16, 2015 | A | 4,662 | A | Jun 16, 2016 | Jun 16, 2020 | Common Stock | 4,662 | 4,662 | D |
Explanation of responses
- F1The Stock Appreciation Rights were granted on 6/16/2015, and will vest 100% on 6/16/2016.
- F2The shares are held by Roger and Marie Valine Living Trust.