0000927066-22-000102.txt : 20220517 0000927066-22-000102.hdr.sgml : 20220517 20220517181516 ACCESSION NUMBER: 0000927066-22-000102 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220515 FILED AS OF DATE: 20220517 DATE AS OF CHANGE: 20220517 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: 22936321 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_165282568903142.xml FORM 4 X0306 4 2022-05-15 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 2022-05-15 4 F 0 21479 100.05 D 68250 D Common Stock 42431 I by 2012 Staffieri Family Trust Shares withheld from issuance to satisfy tax withholding obligation in connection with the vesting of 39,825 shares, which represents 50% of the restricted stock units granted to the Reporting Person on May 15, 2019. The number of shares reported include shares acquired under DaVita Employee Stock Purchase Plan, an exempt transaction pursuant to Rule 16b-3. /s/ Stephanie N. Berberich, Attorney-in-Fact 2022-05-17