0000927066-24-000026.txt : 20240223
0000927066-24-000026.hdr.sgml : 20240223
20240223174436
ACCESSION NUMBER: 0000927066-24-000026
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240221
FILED AS OF DATE: 20240223
DATE AS OF CHANGE: 20240223
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: STAFFIERI MICHAEL DAVID
CENTRAL INDEX KEY: 0001604063
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-14106
FILM NUMBER: 24672877
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]
ORGANIZATION NAME: 08 Industrial Applications and Services
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
wk-form4_1708728265.xml
FORM 4
X0508
4
2024-02-21
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
0
Common Stock
2024-02-21
4
M
0
100000
52.41
A
137687
D
Common Stock
2024-02-21
4
D
0
42610
123
D
95077
D
Common Stock
2024-02-21
4
F
0
27902
123
D
67175
D
Common Stock
2024-02-21
4
S
0
29488
119.8123
D
37687
D
Common Stock
158506
I
by 2012 Staffieri Family Trust
Common Stock
52.41
2024-02-21
4
M
0
100000
0
D
2022-06-20
2024-06-20
Stock Appreciation Rights
100000
100000
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.
Represents the weighted average sale price of $119.8123. The range of prices for the sale of these shares was $119.43 - $120.49 rounded to the nearest hundredths. The reporting person undertakes to provide upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price.
The number of shares reported include shares acquired under DaVita Employee Stock Purchase Plan, an exempt transaction pursuant to Rule 16b-3.
Excludes 89,015 shares previously held by the reporting person directly which were transferred into the 2012 Staffieri Family Trust in transactions exempt from Section 16 reporting pursuant to Rule 16a-13.
The Stock Appreciation Rights were granted on June 20, 2019, which vested 50% each on June 20, 2022 and June 20, 2023.
/s/ Stephanie N. Berberich, Attorney-in-Fact
2024-02-23