SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
GUERTIN SHAWN M

(Last) (First) (Middle)
AETNA INC.
151 FARMINGTON AVENUE

(Street)
HARTFORD CT 06156

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
AETNA INC /PA/ [ AET ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Exec. Vice President, CFO
3. Date of Earliest Transaction (Month/Day/Year)
03/21/2017
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 03/21/2017 S 11,671 D $130.6241(1) 44,880 D
Common Stock 03/21/2017 M 42,250 A $72.26 87,130 D
Common Stock 03/21/2017 F 32,753(2) D $129.09 54,377 D
Common Stock 03/22/2017 S 9,497 D $128.6068 44,880 D
Common Stock 03/22/2017 M 51,431 A $100.5 96,311 D
Common Stock 03/22/2017 M 27,688 A $103.45 123,999 D
Common Stock 03/22/2017 F 70,685(2) D $128.33 53,314 D
Common Stock 03/23/2017 S 8,434 D $128.4099(3) 44,880 D
Common Stock 622.5009(4) I By 401(k) Plan
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Appreciation Rights $72.26 03/21/2017 M 42,250 03/03/2015 03/02/2024 Common Stock 42,250 $72.26 0 D
Stock Appreciation Rights $100.5 03/22/2017 M 51,431 03/02/2016 03/01/2025 Common Stock 51,431 $100.5 25,715 D
Stock Appreciation Rights $103.45 03/22/2017 M 27,688 02/19/2017 02/18/2026 Common Stock 27,688 $103.45 55,376 D
Explanation of Responses:
1. Average weighted share price. Shares sold in multiple transactions at prices ranging from $130.610 to $130.734, inclusive.
2. Stock Appreciation Right is net settled; amount represents withholding of shares by the Company to pay exercise price and taxes.
3. Average weighted share price. Shares sold in multiple transactions at prices ranging from $128.25 to $128.62, inclusive.
4. Represents the pro rata portion of the stock portion of Aetna Common Stock Fund held by reporting person on March 17, 2017 pursuant to Aetna Inc. 401(k) Plan. The information is based on information provided by the Plan Trustee as of that date.
Remarks:
Shawn M. Guertin, by Judith H. Jones, Attorney-in-fact 03/23/2017
** 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 4 (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.
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