0000927066-20-000102.txt : 20200519 0000927066-20-000102.hdr.sgml : 20200519 20200519211746 ACCESSION NUMBER: 0000927066-20-000102 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200515 FILED AS OF DATE: 20200519 DATE AS OF CHANGE: 20200519 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STAFFIERI MICHAEL DAVID CENTRAL INDEX KEY: 0001604063 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14106 FILM NUMBER: 20895510 MAIL ADDRESS: STREET 1: 2000 16TH STREET CITY: DENVER STATE: CO ZIP: 80202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DAVITA INC. CENTRAL INDEX KEY: 0000927066 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 510354549 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2000 16TH STREET CITY: DENVER STATE: CO ZIP: 80202 BUSINESS PHONE: 310-536-2668 MAIL ADDRESS: STREET 1: 2000 16TH STREET CITY: DENVER STATE: CO ZIP: 80202 FORMER COMPANY: FORMER CONFORMED NAME: DAVITA HEALTHCARE PARTNERS INC. DATE OF NAME CHANGE: 20121107 FORMER COMPANY: FORMER CONFORMED NAME: DAVITA INC DATE OF NAME CHANGE: 20001005 FORMER COMPANY: FORMER CONFORMED NAME: TOTAL RENAL CARE HOLDINGS INC DATE OF NAME CHANGE: 19950524 4 1 wf-form4_158993744772857.xml FORM 4 X0306 4 2020-05-15 0 0000927066 DAVITA INC. DVA 0001604063 STAFFIERI MICHAEL DAVID C/O DAVITA INC. 2000 16TH STREET DENVER CO 80202 0 1 0 0 Chief Operating Officer, DKC Common Stock 2020-05-15 4 F 0 2186 0 D 85226 D Common Stock 47315 I by 2012 Staffieri Family Trust Shares withheld from issuance to satisfy tax withholding obligation in connection with the vesting of 4,093 shares, which represents 50% of the restricted stock units granted to the Reporting Person on December 24, 2016. The number of shares reported includes shares acquired through the DaVita Retirement Savings Plan. /s/ Stephanie N. Berberich, Attorney-in-Fact 2020-05-19