FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
OMNICARE INC [ OCR ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 08/18/2015 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 08/18/2015 | D | 35,346(1) | D | $98(2) | 9,140 | D | |||
Common Stock | 08/18/2015 | D | 6,601 | D | $98(3) | 2,539 | D | |||
Common Stock | 08/18/2015 | D | 2,539 | D | (4) | 0 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option | $34.96 | 08/18/2015 | D | 9,026 | (5) | 04/29/2019 | Common Stock | 9,026 | (6) | 0 | D | ||||
Stock Option | $39.08 | 08/18/2015 | D | 150 | 02/05/2017 | 02/04/2023 | Common Stock | 150 | (7) | 0 | D | ||||
Stock Option | $43.5 | 08/18/2015 | D | 318 | 05/02/2017 | 05/01/2023 | Common Stock | 318 | (7) | 0 | D | ||||
Stock Option | $54.01 | 08/18/2015 | D | 220 | 08/06/2017 | 08/05/2023 | Common Stock | 220 | (7) | 0 | D | ||||
Stock Option | $55.72 | 08/18/2015 | D | 258 | 11/07/2017 | 11/06/2023 | Common Stock | 258 | (7) | 0 | D | ||||
Stock Option | $60.71 | 08/18/2015 | D | 236 | 02/06/2018 | 02/05/2024 | Common Stock | 236 | (7) | 0 | D | ||||
Stock Option | $60.09 | 08/18/2015 | D | 210 | 05/06/2018 | 05/05/2024 | Common Stock | 210 | (7) | 0 | D | ||||
Stock Option | $61.93 | 08/18/2015 | D | 214 | 08/07/2018 | 08/06/2024 | Common Stock | 214 | (7) | 0 | D | ||||
Stock Option | $68.23 | 08/18/2015 | D | 224 | 11/06/2018 | 11/05/2024 | Common Stock | 224 | (7) | 0 | D | ||||
Stock Option | $76.15 | 08/18/2015 | D | 200 | 02/05/2019 | 02/04/2025 | Common Stock | 200 | (7) | 0 | D | ||||
Stock Option | $91.01 | 08/18/2015 | D | 148 | 05/08/2019 | 05/07/2025 | Common Stock | 148 | (7) | 0 | D |
Explanation of Responses: |
1. Reflects 74 shares of Common Stock acquired in exempt transactions under the Omnicare StockPlus Program (broad-based stock purchase/option plan). |
2. At the Effective Time (as defined in the Agreement and Plan of Merger, dated May 20, 2015 (the "Merger Agreement"), by and among the Company, CVS Pharmacy, Inc. and Tree Merger Sub, Inc.), these shares of Common Stock were converted into the right to receive the merger consideration of $98.00 per share in cash (the "Merger Consideration") in accordance with the Merger Agreement. |
3. At the Effective Time, in accordance with the Merger Agreement, these shares of restricted stock became fully vested and any restrictions with respect thereto lapsed. Such shares were cancelled and converted into the right to receive the Merger Consideration. |
4. At the Effective Time, in accordance with the Merger Agreement, these shares of restricted stock were converted into 2,302 shares of CVS Health Corporation restricted stock. |
5. This stock option became exercisable in three annual installments beginning on April 30, 2013. |
6. At the Effective Time, in accordance with the Merger Agreement, this stock option cancelled and converted into the right to receive a cash amount determined by multiplying (x) the excess of the Merger Consideration over the exercise price of such stock option by (y) the number of shares of Common Stock subject to such stock option. |
7. At the Effective Time, in accordance with the Merger Agreement, this stock option acquired under the Omnicare StockPlus Program (broad-based stock purchase/option plan) became fully vested and was cancelled and converted into the right to receive a cash amount determined by multiplying (x) the excess of the Merger Consideration over the exercise price of such stock option by (y) the number of shares of Common Stock subject to such stock option. |
Remarks: |
/s/ Nathan Scott, attorney-in-fact for Alexander M. Kayne | 08/20/2015 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |