0001127602-17-032620.txt : 20171117 0001127602-17-032620.hdr.sgml : 20171117 20171117160721 ACCESSION NUMBER: 0001127602-17-032620 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171115 FILED AS OF DATE: 20171117 DATE AS OF CHANGE: 20171117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Clark Gina CENTRAL INDEX KEY: 0001625811 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16671 FILM NUMBER: 171211017 MAIL ADDRESS: STREET 1: 1300 MORRIS DRIVE CITY: CHESTERBROOK STATE: PA ZIP: 19087 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERISOURCEBERGEN CORP CENTRAL INDEX KEY: 0001140859 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-DRUGS PROPRIETARIES & DRUGGISTS' SUNDRIES [5122] IRS NUMBER: 233079390 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 1300 MORRIS DRIVE CITY: CHESTERBROOK STATE: PA ZIP: 19087-5594 BUSINESS PHONE: 6107277000 MAIL ADDRESS: STREET 1: 1300 MORRIS DRIVE CITY: CHESTERBROOK STATE: PA ZIP: 19087-5594 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-11-15 0001140859 AMERISOURCEBERGEN CORP ABC 0001625811 Clark Gina 1300 MORRIS DRIVE CHESTERBROOK PA 19087 1 Executive Vice President Common Stock 11648 D Non-qualified Stock Option (Right to Buy) 77.53 2017-11-15 4 A 0 27542 0 A 2024-11-15 Common Stock 27542 27542 D Restricted Stock Units 2017-11-15 4 A 0 3354 0 A Common Stock 3354 3354 D Balance reflects adjustment to previously overstated number of shares. Exercisable in four equal annual installments on 11/15/18, 11/15/19, 11/15/20 and 11/15/21 Annual grant of restricted stock units that vests 100% on the third anniversary of the date of grant for no consideration. Annual grant of restricted stock units that vests 100% on the third anniversary of the date of grant /s/John G. Chou for Gina Clark 2017-11-17