SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Randolph Georgina

(Last) (First) (Middle)
601 HAWAII STREET

(Street)
EL SEGUNDO CA 90245

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/22/2007
3. Issuer Name and Ticker or Trading Symbol
DAVITA INC [ DVA ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Senior Vice President
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 1,329 D
Common Stock 5,000(1) D
Common Stock 103 I Held by Spouse
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) 04/04/2004(2) 04/04/2008 Common Stock 62,500 $13.7333 D
Stock Option (Right to Buy) 08/12/2005(3) 08/12/2009 Common Stock 36,000 $28.01 D
Stock Appreciation Right 07/01/2007(4) 07/01/2011 Common Stock 10,000 $49.7 D
Stock Appreciation Right 03/14/2009(5) 03/14/2012 Common Stock 20,000 $52.12 D
Explanation of Responses:
1. Restricted Stock Units, granted pursuant to the 2002 Equity Compensation Plan, which vest 2,500 shares on 05/28/07 and 2,500 on 05/28/08.
2. Non-qualified Stock Options, granted pursuant to the 2002 Equity Compensation Plan, of which 43,750 shares are currently vested and exercisable. The remaining 18,750 shares will vest on 4/4/07.
3. Non-qualified Stock Options, granted pursuant to the 2002 Equity Compensation Plan, of which 18,000 shares are currently exercisable. The remaining 18,000 shares will vest in equal installments on 4/12/07, 8/12/07, 12/12/07, 4/12/08, 8/12/08, and 12/12/08.
4. Stock Appreciation Right, granted pursuant to the 2002 Equity Compensation Plan, which vests 25% on 7/1/07, 8.33% on 3/1/08 and 8.33% every 4 months thereafter.
5. Stock Appreciation Right, granted pursuant to the 2002 Equity Compensation Plan, which vests 25% on 3/14/09, 12.5% on 11/14/09, and 12.5% every 4 months thereafter.
/s/ Corinna B. Polk Attorney-in-Fact 03/30/2007
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.