- Initial Statement of Beneficial Ownership (3)
March 07 2012 - 4:20PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0104
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November 30, 2011
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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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1. Name and Address of Reporting Person
*
McCauley Frank G.
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2. Date of Event Requiring Statement (MM/DD/YYYY)
3/5/2012
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3. Issuer Name
and
Ticker or Trading Symbol
AETNA INC /PA/ [AET]
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(Last)
(First)
(Middle)
AETNA INC., 151 FARMINGTON AVENUE
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
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X
___ Officer (give title below)
_____ Other (specify below)
Exec VP, Commercial Businesses /
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(Street)
HARTFORD, CT 06156
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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3090
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D
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Common Stock
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1632.6259
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I
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By 401(k) Plan
(1)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Market Stock Unit
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(3)
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(3)
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Common Stock
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12768
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(2)
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D
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Market Stock Unit
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(4)
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(4)
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Common Stock
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13238
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(2)
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D
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Market Stock Unit
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(5)
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(5)
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Common Stock
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13099
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(2)
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D
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Stock Appreciation Right
(6)
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2/10/2007
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2/10/2016
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Common Stock
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16952
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$50.205
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D
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Stock Appreciation Right
(6)
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2/8/2009
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2/8/2018
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Common Stock
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29915
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$50.70
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D
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Stock Appreciation Right
(6)
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2/13/2010
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2/13/2019
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Common Stock
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12989
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$32.11
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D
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Explanation of Responses:
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(
1)
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Represents the pro rata portion of the stock portion of Aetna Common Stock Fund held by reporting person on February 29, 2012. The information is based on information provided by the Plan Trustee as of that date.
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(
2)
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Each Market Stock Unit represents a right to receive up to 1.5 shares of Aetna Inc. Common Stock net of taxes. Vesting amount will be determined based on the weighted average closing stock price for the thirty trading days prior to the vest date.
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(
3)
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Market Stock Unit granted under the Aetna Inc. 2010 Stock Incentive Plan, units will vest on December 7, 2012.
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(
4)
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Market Stock Unit granted under the Aetna Inc. 2010 Stock Incentive Plan, units will vest on February 2, 2014.
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(
5)
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Market Stock Unit granted under the Aetna Inc. 2010 Stock Incentive Plan, units will vest on February 2, 2015.
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(
6)
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Stock Appreciation Right granted under the Aetna Inc. 2000 Stock Incentive Plan.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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McCauley Frank G.
AETNA INC.
151 FARMINGTON AVENUE
HARTFORD, CT 06156
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Exec VP, Commercial Businesses
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Signatures
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Frank G. McCauley (by Judith H. Jones, Attorney in Fact)
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3/7/2012
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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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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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.
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