0000927066-21-000156.txt : 20210908
0000927066-21-000156.hdr.sgml : 20210908
20210908175955
ACCESSION NUMBER: 0000927066-21-000156
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210903
FILED AS OF DATE: 20210908
DATE AS OF CHANGE: 20210908
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: 211243084
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_163113837369033.xml
FORM 4
X0306
4
2021-09-03
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
2021-09-03
4
M
0
37101
65.48
A
117783
D
Common Stock
2021-09-03
4
D
0
18195
133.52
D
99588
D
Common Stock
2021-09-03
4
F
0
10192
133.52
D
89396
D
Common Stock
42431
I
by 2012 Staffieri Family Trust
Stock Appreciation Rights
65.48
2021-09-03
4
M
0
37101
0
D
2020-05-15
2022-06-06
Common Stock
37101.0
0
D
Represents the shares withheld in payment of the base price in connection with the exercise of Stock Appreciation Rights reported on this Form 4.
Represents the shares withheld to satisfy the tax withholding obligation in connection with the exercise of Stock Appreciation Rights reported on this Form 4.
The Stock Appreciation Rights were granted on June 6, 2017, which vested 50% each on May 15, 2020 and May 15, 2021.
/s/ Stephanie N. Berberich, Attorney-in-Fact
2021-09-08