0000927066-23-000121.txt : 20230512
0000927066-23-000121.hdr.sgml : 20230512
20230512213401
ACCESSION NUMBER: 0000927066-23-000121
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230510
FILED AS OF DATE: 20230512
DATE AS OF CHANGE: 20230512
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: 23917999
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
wk-form4_1683941629.xml
FORM 4
X0407
4
2023-05-10
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
0
Common Stock
2023-05-10
4
M
0
243994
66.29
A
348071
D
Common Stock
2023-05-10
4
D
0
160588
100.72
D
187483
D
Common Stock
2023-05-10
4
F
0
41369
100.72
D
146114
D
Common Stock
69491
I
by 2012 Staffieri Family Trust
Stock Appreciation Rights
66.29
2023-05-10
4
M
0
243994
0
D
2021-05-15
2023-05-15
Common Stock
243994
0
D
Represents the shares withheld in payment of the base price in connection with the exercise of Stock Appreciation Rights reported on this Form 4.
Represents the shares withheld to satisfy the tax withholding obligation in connection with the exercise of Stock Appreciation Rights reported on this Form 4.
The Stock Appreciation Rights were granted on May 15, 2018, which vested 50% each on May 15, 2021 and May 15, 2022.
/s/ Stephanie N. Berberich, Attorney-in-Fact
2023-05-12