0001127602-21-029229.txt : 20211115 0001127602-21-029229.hdr.sgml : 20211115 20211115202812 ACCESSION NUMBER: 0001127602-21-029229 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211112 FILED AS OF DATE: 20211115 DATE AS OF CHANGE: 20211115 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: 211413732 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: 1 WEST FIRST AVENUE CITY: CONSHOHOCKEN STATE: PA ZIP: 19428 BUSINESS PHONE: 6107277000 MAIL ADDRESS: STREET 1: 1 WEST FIRST AVENUE CITY: CONSHOHOCKEN STATE: PA ZIP: 19428 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2021-11-12 0001140859 AMERISOURCEBERGEN CORP ABC 0001625811 Clark Gina 1 WEST FIRST AVENUE CONSHOHOCKEN PA 19428 1 Executive Vice President Common Stock 2021-11-12 4 M 0 16027 98.24 A 35218 D Common Stock 2021-11-12 4 A 0 14512 A 49730 D Common Stock 2021-11-12 4 F 0 5345 119.45 D 44385 D Common Stock 2021-11-12 4 S 0 16027 125.8301 D 28358 D Common Stock 2021-11-14 4 M 0 2902 A 31260 D Common Stock 2021-11-14 4 F 0 1262 125.34 D 29998 D Non-qualified Stock Option (Right to Buy) 98.24 2021-11-12 4 M 0 16027 0 D 2022-11-11 Common Stock 16027 0 D Restricted Stock Units 2021-11-14 4 M 0 2902 D Common Stock 2902 0 D Shares were received for no consideration upon the satisfaction of performance criteria underlying an award of performance share units. Grant of restricted stock units received on November 14, 2018 for no consideration and vested 100% on the third anniversary of the date of grant. Exerciseable in four equal annual installments on 11/11/16, 11/11/17, 11/11/18 and 11/11/19. /s/ John G. Chou, attorney-in-fact for Gina Clark 2021-11-15