0001140859-22-000066.txt : 20221103 0001140859-22-000066.hdr.sgml : 20221103 20221103172058 ACCESSION NUMBER: 0001140859-22-000066 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221101 FILED AS OF DATE: 20221103 DATE AS OF CHANGE: 20221103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kim Lorence H. CENTRAL INDEX KEY: 0001643746 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16671 FILM NUMBER: 221359181 MAIL ADDRESS: STREET 1: C/O SERES HEALTH, INC. STREET 2: 161 FIRST STREET CITY: CAMBRIDGE STATE: MA ZIP: 02472 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 wf-form4_166751043795860.xml FORM 4 X0306 4 2022-11-01 0 0001140859 AMERISOURCEBERGEN CORP ABC 0001643746 Kim Lorence H. 1 WEST FIRST AVENUE CONSHOHOCKEN PA 19428 1 0 0 0 Common Stock 2022-11-01 4 A 0 558 0 A 558 D Common Stock 5 I By Family Trust Common Stock 5 I By Family Trust2 Common Stock 5 I By Family Trust3 Common Stock 81 I By Family Trust4 Common Stock 72 I By Family Trust5 Grant of restricted stock units received for no consideration and vests 100% on the first anniversary of the date of grant. Reporting Person is deferring delivery of shares until 3/10/2028. These shares are held in trust on behalf of the reporting person's children. The reporting person's spouse is the trustee of the trust. The reporting person disclaims beneficial ownership of the shares held by the trust except to the extent of the reporting person's pecuniary interest therein. These shares are held in trust on behalf of the reporting person and the reporting person's spouse. The reporting person is the co-trustee of the trust. The reporting person disclaims beneficial ownership of the shares held by the trust except to the extent of the reporting person's pecuniary interest therein. /s/ Elizabeth S. Campbell, attorney-in-fact for Lorence H. Kim, M.D. 2022-11-03