-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Hi8T+Ezwve/zR6aOaslxiSomJl1xR1+5TrKOnN1vG3aLEd6JZg11z1NXv3r2J5gM 0BpNESSMX6SkCIzNrcuu8w== 0000860730-06-000210.txt : 20061121 0000860730-06-000210.hdr.sgml : 20061121 20061121185734 ACCESSION NUMBER: 0000860730-06-000210 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061117 FILED AS OF DATE: 20061121 DATE AS OF CHANGE: 20061121 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HCA INC/TN CENTRAL INDEX KEY: 0000860730 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 752497104 STATE OF INCORPORATION: DE FISCAL YEAR END: 0324 BUSINESS ADDRESS: STREET 1: ONE PARK PLZ CITY: NASHVILLE STATE: TN ZIP: 37203 BUSINESS PHONE: 6153449551 MAIL ADDRESS: STREET 1: ONE PARK PLAZA CITY: NASHVILLE STATE: TN ZIP: 37203 FORMER COMPANY: FORMER CONFORMED NAME: HCA THE HEALTHCARE CO DATE OF NAME CHANGE: 20010419 FORMER COMPANY: FORMER CONFORMED NAME: COLUMBIA HCA HEALTHCARE CORP DATE OF NAME CHANGE: 20000502 FORMER COMPANY: FORMER CONFORMED NAME: COLUMBIA HCA HEALTHCARE CORP/ DATE OF NAME CHANGE: 19940314 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHAPIRO HAROLD T CENTRAL INDEX KEY: 0001183696 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11239 FILM NUMBER: 061234055 BUSINESS ADDRESS: STREET 1: DOW CHEMICAL CO STREET 2: 2030 DOW CENTER CITY: MIDLAND STATE: MI ZIP: 48674 4 1 sha1298.xml X0202 4 2006-11-17 1 0000860730 HCA INC/TN (HCA) 0001183696 SHAPIRO HAROLD T C/O HCA INC. ONE PARK PLAZA NASHVILLE TN 37203 1 0 0 0 Common Stock 2006-11-17 4 D 0 13677 51.0000 D 0 D Non-Qualified Stock Option (right to buy) 35.6000 2006-11-17 4 D 0 14045 D 2011-03-22 Common Stock 14045 0 D Non-Qualified Stock Option (right to buy) 39.2000 2006-11-17 4 D 0 14250 D 2011-05-24 Common Stock 14250 0 D Non-Qualified Stock Option (right to buy) 32.3000 2006-11-17 4 D 0 785 D 2003-07-24 2013-07-24 Common Stock 785 0 D Non-Qualified Stock Option (right to buy) 40.1400 2006-11-17 4 D 0 6229 D 2014-06-10 Common Stock 6229 0 D Non-Qualified Stock Option (right to buy) 43.4900 2006-11-17 4 D 0 3833 D 2016-05-25 Common Stock 3833 0 D Non-Qualified Stock Option (right-to-buy) 54.6800 2006-11-17 4 D 0 5715 D 2015-06-09 Common Stock 5715 0 D Disposed of in connection with the merger in exchange for the right to receive $51.00 per share. The option vests in four equal annual installments beginning on 3/22/02. This option was cancelled in the merger in exchange for a cash payment equal to the difference between the exercise price of the option and the merger consideration of $51 per share, multiplied by the number of shares subject to the option. The option vests in five equal annual installments beginning on 5/24/01. Immediately before the effective time of the merger, all unvested options became fully vested and immediately exercisable. All options with an exercise price above the merger consideration of $51.00 per share were cancelled in the merger and no payment will be made thereon. By: /s/ Colleen E. Haley, Attorney-in-Fact 2006-11-21 -----END PRIVACY-ENHANCED MESSAGE-----