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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 | ||||||||
Non-Qualified Stock Option | $ 12.75 | 09/09/2009 | M | 143,058 | (4) | 01/25/2011 | Common Stock | 143,058 | $ 0 | 0 | D | ||||
Non-Qualified Stock Option | $ 12.75 | 09/09/2009 | M | 53,882 | (5) | 01/24/2012 | Common Stock | 53,882 | $ 0 | 0 | D | ||||
Non-Qualified Stock Option | $ 12.75 | 09/09/2009 | M | 69,411 | (5) | 01/29/2013 | Common Stock | 69,411 | $ 0 | 0 | D | ||||
Non-Qualified Stock Option | $ 12.75 | 09/09/2009 | M | 53,751 | (5) | 01/29/2014 | Common Stock | 53,751 | $ 0 | 0 | D | ||||
Non-Qualified Stock Option | $ 12.75 | 09/09/2009 | M | 13,113 | (6) | 01/27/2015 | Common Stock | 13,113 | $ 0 | 0 | D | ||||
Non-Qualified Stock Option | $ 12.75 | 09/09/2009 | M | 2,953 | (6) | 01/27/2015 | Common Stock | 2,953 | $ 0 | 0 | D | ||||
Non-Qualified Stock Option | $ 12.75 | 09/09/2009 | M | 8,483 | (6) | 01/27/2015 | Common Stock | 8,483 | $ 0 | 0 | D | ||||
Non-Qualified Stock Option | $ 12.75 | 09/09/2009 | M | 1,919 | (6) | 01/26/2016 | Common Stock | 1,919 | $ 0 | 0 | D | ||||
Non-Qualified Stock Option | $ 12.75 | 09/09/2009 | M | 10,330 | (6) | 01/26/2016 | Common Stock | 10,330 | $ 0 | 0 | D | ||||
Non-Qualified Stock Option | $ 12.75 | 09/09/2009 | M | 2,443 | (6) | 01/26/2016 | Common Stock | 2,443 | $ 0 | 0 | D | ||||
Non-Qualified Stock Option | $ 12.75 | 09/09/2009 | M | 1,151 | (6) | 01/26/2016 | Common Stock | 1,151 | $ 0 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BOVENDER JACK O JR ONE PARK PLAZA NASHVILLE, TN 37203 |
X | Chairman |
/s/ Natalie Harrison Cline, Attorney-in-Fact | 09/11/2009 | |
**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) | Shares were contributed to a grantor retained annuity trust on September 9, 2009. |
(2) | Shares were contributed to a grantor retained annuity trust on March 14, 2008. |
(3) | Shares were contributed to a grantor retained annuity trust on March 17, 2009. |
(4) | The option vested in four equal annual installments beginning on January 25, 2002. |
(5) | On December 16, 2004, HCA announced the acceleration of vesting of all unvested options awarded to employees and officers under the HCA 2000 Equity Incentive Plan which had exercise prices greater than the closing price of HCA's common stock on December 14, 2004 of $40.89 per share, as reported by the New York Stock Exchange. |
(6) | Immediately before the effective time of the merger of Hercules Acquisition Corporation with and into the issuer on November 17, 2006, pursuant to the Merger Agreement dated July 24, 2006 among Hercules Holding II, LLC, Hercules Acquisition Corporation and the issuer, all unvested options became fully vested and immediately exercisable. |