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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Options (Right to Buy) | $ 25.33 | 02/10/2005(3) | 02/10/2014 | Common Stock | 15,000 | 15,000 | D | ||||||||
Stock Options (Right to Buy) | $ 4.5 | 03/21/2006 | M | 9,240 | (4) | 12/27/2010 | Common Stock | 9,240 | $ 0 | 0 | D | ||||
Stock Options (Right to Buy) | $ 44.29 | 07/01/2006(5) | 07/01/2015 | Common Stock | 5,000 | 5,000 | D | ||||||||
Stock Option (Right to Buy) | $ 28.66 | 02/02/2007(6) | 02/02/2016 | Common Stock | 15,000 | 15,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
KOONTZ LILLIS ANN 2277 FAIR OAKS BLVD, STE 440 SACRAMENTO, CA 95825 |
VP, Health Plan Operations |
Lillis Ann Koontz, by Jeff D. Barlow, Attorney-in-Fact. | 03/22/2006 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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). |
(1) | 5,064 of the shares are fully vested, although 3,500 of such vested shares are subject to a restriction on transfer until August 2, 2007. Of the 16,667 share remainder, 8,333 shares will vest on 9/13/2006 and 8,334 will vest on 9/13/2007. |
(2) | Represents the weighted average sales price of four separate sales made on March 21, 2006. |
(3) | The options vest one-third on each of 2/10/2005, 2/10/2006, and 2/10/2007. |
(4) | The options became fully exercisable upon the closing of the initial public offering of the issuer. |
(5) | The options vest one-third on each of 7/1/2006, 7/1/2007, and 7/1/2008. |
(6) | The options vest one-third on each of 2/2/2007, 2/2/2008, and 2/2/2009. |