Michael David Staffieri - Sep 3, 2021 Form 4 Insider Report for DAVITA INC. (DVA)

Role
Chief Operating Officer, DKC
Signature
/s/ Stephanie N. Berberich, Attorney-in-Fact
Stock symbol
DVA
Transactions as of
Sep 3, 2021
Transactions value $
-$1,360,859
Form type
4
Date filed
9/8/2021, 05:59 PM
Next filing
Mar 17, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction DVA Common Stock Options Exercise $2.43M +37.1K +45.98% $65.48 118K Sep 3, 2021 Direct
transaction DVA Common Stock Disposed to Issuer -$2.43M -18.2K -15.45% $133.52 99.6K Sep 3, 2021 Direct F1
transaction DVA Common Stock Tax liability -$1.36M -10.2K -10.23% $133.52 89.4K Sep 3, 2021 Direct F2
holding DVA Common Stock 42.4K Sep 3, 2021 by 2012 Staffieri Family Trust

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction DVA Stock Appreciation Rights Options Exercise $0 -37.1K -100% $0.00* 0 Sep 3, 2021 Common Stock 37.1K $65.48 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents the shares withheld in payment of the base price in connection with the exercise of Stock Appreciation Rights reported on this Form 4.
F2 Represents the shares withheld to satisfy the tax withholding obligation in connection with the exercise of Stock Appreciation Rights reported on this Form 4.
F3 The Stock Appreciation Rights were granted on June 6, 2017, which vested 50% each on May 15, 2020 and May 15, 2021.