0001062993-22-000510.txt : 20220105
0001062993-22-000510.hdr.sgml : 20220105
20220105094506
ACCESSION NUMBER: 0001062993-22-000510
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220103
FILED AS OF DATE: 20220105
DATE AS OF CHANGE: 20220105
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DAMELIO FRANK A
CENTRAL INDEX KEY: 0001194004
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-05975
FILM NUMBER: 22509673
MAIL ADDRESS:
STREET 1: C/O PFIZER INC.
STREET 2: 235 EAST 42ND ST.
CITY: NEW YORK
STATE: NY
ZIP: 10017
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: HUMANA INC
CENTRAL INDEX KEY: 0000049071
STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324]
IRS NUMBER: 610647538
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 500 W MAIN ST
CITY: LOUISVILLE
STATE: KY
ZIP: 40202
BUSINESS PHONE: 5025801000
MAIL ADDRESS:
STREET 1: 500 W. MAIN ST
CITY: LOUISVILLE
STATE: KY
ZIP: 40202
FORMER COMPANY:
FORMER CONFORMED NAME: EXTENDICARE INC
DATE OF NAME CHANGE: 19740404
FORMER COMPANY:
FORMER CONFORMED NAME: HERITAGE HOUSE OF AMERICA INC
DATE OF NAME CHANGE: 19671129
4
1
form4.xml
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
X0306
4
2022-01-03
0000049071
HUMANA INC
HUM
0001194004
DAMELIO FRANK A
HUMANA INC
500 W. MAIN ST.
LOUISVILLE
KY
40202
1
0
0
0
Humana Common
2752
I
See Footnote
Humana Common
9416
I
See Footnote
Humana Common
1746
I
See Footnote
Humana Common
6720
I
See Footnote
Restricted Stock Units
Humana Common
24055
24055
D
Restricted Stock Units
Humana Common
2467
2467
D
Restricted Stock Units
Humana Common
318
318
D
Restricted Stock Units
2022-01-03
4
A
0
412
0
A
Humana Common
412
412
D
Annual Director's fee payable in stock units which have been deferred at the election of the reporting person until his resignation of services as a director at which time the stock units will be payable in Humana Inc. common stock on a 1-for-1 basis, exempt pursuant to Rule 16(b)-3(d)(1).
Director's cash fee elected to be converted into stock units, deferred at the election of the reporting person until his resignation of services as a director at which time the stock units will be payable in Humana Inc. common stock on a 1-for-1 basis (over a five-year period), exempt pursuant to Rule 16(b)-3(d)(1).
Director's dividend payment reinvested into stock units on vested and deferred stock units, deferred in accordance with the Plan until his resignation of services as a director at which time the deferred dividend stock units will be payable in Humana Inc. common stock on a 1-for-1 basis, exempt pursuant to Rule16(b)-3(d).
Each restricted stock unit represents a contingent right to receive one share of Humana Inc. common stock, exempt under Rule 16b-3(d)(1)&(3) under the Company's 2019 Amended & Restated Plan. 100% of the award is vesting on 12/31/22.
Shares transferred and held in the Frank A. D'Amelio 2019 GRAT No. 3 (est. 11/5/19) effective on11/25/19. Reporting person is the sole trustee.
Shares transferred and held in the Frank A. D'Amelio 2020 GRAT No. 1 (est. 5/1/20) effective on 5/12/20. Reporting person is the sole trustee.
Shares transferred and held in the Frank A. D'Amelio 2020 GRAT No. 3 (est. 11/24/20) effective on 11/30/20. Reporting person is the sole trustee.
Shares transferred and held in the Frank A. D'Amelio 2021 GRAT No. 1 (est. 6/10/21) effective on 6/28/21. Reporting person is the sole trustee.
Frank A. D'Amelio
2022-01-05