0000927066-20-000260.txt : 20201202 0000927066-20-000260.hdr.sgml : 20201202 20201202183155 ACCESSION NUMBER: 0000927066-20-000260 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201130 FILED AS OF DATE: 20201202 DATE AS OF CHANGE: 20201202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STAFFIERI MICHAEL DAVID CENTRAL INDEX KEY: 0001604063 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14106 FILM NUMBER: 201365118 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] 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 wf-form4_160695189652358.xml FORM 4 X0306 4 2020-11-30 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 Common Stock 2020-11-30 4 S 0 25000 109.7406 D 42431 I by 2012 Staffieri Family Trust Common Stock 80682 D Represents the weighted average sale price of $109.7406. The range of prices for the sale of these shares was $109.5800 - $110.0950 rounded to the nearest ten-thousandths. 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. Excludes 20,116 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. /s/ Stephanie N. Berberich, Attorney-in-Fact 2020-12-02