SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
HEARTY JAMES O

(Last) (First) (Middle)
C/O DAVITA INC.
2000 16TH STREET

(Street)
DENVER CO 80202

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/31/2018
3. Issuer Name and Ticker or Trading Symbol
DAVITA INC. [ DVA ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Compliance Officer
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 997 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units 05/15/2018 07/24/2019 Common Stock 450 0.0 D
Restricted Stock Units 06/02/2018(1) 09/02/2020 Common Stock 746 0.0 D
Restricted Stock Units 05/15/2019(2) 08/13/2021 Common Stock 827 0.0 D
Restricted Stock Units 05/15/2020(3) 09/06/2022 Common Stock 457 0.0 D
Stock Appreciation Rights 04/24/2018(4) 04/24/2019 Common Stock 3,601 69.38 D
Stock Appreciation Rights 05/13/2019(5) 05/13/2021 Common Stock 3,308 75.42 D
Stock Appreciation Rights 05/15/2020(6) 06/06/2022 Common Stock 2,283 65.48 D
Explanation of Responses:
1. These restricted stock units are scheduled to vest 50% each on 6/2/2018 and 6/2/2019, subject to continued service through each applicable vesting date.
2. These restricted stock units are scheduled to vest 50% each on 5/15/2019 and 5/15/2020, subject to continued service through each applicable vesting date.
3. These restricted stock units are scheduled to vest 50% each on 5/15/2020 and 5/15/2021, subject to continued service through each applicable vesting date.
4. The Stock Appreciation Rights were granted on 4/24/2014. 50% vested on 4/24/2017 and the remaining 50% will vest on 4/24/2018.
5. The Stock Appreciation Rights were granted on 5/13/2016. 50% will vest on 5/13/2019 and the remaining 50% will vest on 5/13/2020.
6. The Stock Appreciation Rights were granted on 6/6/2017. 50% will vest on 5/15/2020 and the remaining 50% will vest on 5/15/2021.
Remarks:
/s/ Arturo Sida, Attorney-in-Fact 04/10/2018
** 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 5 (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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