Statement of Changes in Beneficial Ownership (4)
November 15 2019 - 4:26PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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
*
Shishin Maxim |
2. Issuer Name and Ticker or Trading Symbol
CORVEL CORP
[
CRVL
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chief Information Officer |
(Last)
(First)
(Middle)
2010 MAIN STREET SUITE 600 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
11/13/2019 |
(Street)
IRVINE, CA 92614
(City)
(State)
(Zip)
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4. 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 Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 11/13/2019 | | M | | 2100 | A | $32.1 | 2100 | D | |
Common Stock | 11/13/2019 | | S | | 2100 | D | $75.3351 | 0 | D | |
Common Stock | 11/13/2019 | | M | | 1433 | A | $34.78 | 1433 | D | |
Common Stock | 11/13/2019 | | S | | 1433 | D | $75.3351 | 0 | D | |
Common Stock | 11/13/2019 | | M | | 450 | A | $33.16 | 450 | D | |
Common Stock | 11/13/2019 | | S | | 450 | D | $75.3351 | 0 | D | |
Common Stock | 11/13/2019 | | M | | 400 | A | $34.67 | 400 | D | |
Common Stock | 11/13/2019 | | S | | 400 | D | $75.3351 | 0 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 7. Title and Amount of Securities Underlying Derivative Security (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) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Non-Qualified Stock Option (right to buy) | $32.1 | 11/13/2019 | | M | | | 2100 | (1) | 11/3/2021 | Common Stock | 2100 | $0.0 | 4900 | D | |
Non-Qualified Stock Option (right to buy) | $33.16 | 11/13/2019 | | M | | | 450 | (2) | 8/6/2020 | Common Stock | 450 | $0.0 | 0 | D | |
Non-Qualified Stock Option (right to buy) | $34.67 | 11/13/2019 | | M | | | 400 | (2) | 5/7/2020 | Common Stock | 400 | $0.0 | 0 | D | |
Non-Qualified Stock Option (right to buy) | $34.78 | 11/13/2019 | | M | | | 1433 | (1) | 11/5/2020 | Common Stock | 1433 | $0.0 | 3817 | D | |
Explanation of Responses: |
(1) | Option will vest based on achievement of certain performance criteria relating to earnings growth. |
(2) | Exercisable as to 25% of shares one year following grant date with the remaining shares exercisable in 36 equal monthly installments thereafter. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Shishin Maxim 2010 MAIN STREET SUITE 600 IRVINE, CA 92614 |
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| Chief Information Officer |
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Signatures
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By: Sharon O'Connor For: Maxim Shishin | | 11/15/2019 |
**Signature of Reporting Person | Date |
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