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