/------------------------------/ / OMB APPROVAL / /------------------------------/ / OMB Number: 3235-0287 / / Expires: December 31, 2001 / / Estimated average burden / / hours per response...... 0.5 / /------------------------------/ +--------+ | FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION +--------+ Washington, D.C. 20549 [_] Check this box if no longer subject STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP to Section 16. Form 4 or Form 5 Filed pursuant to Section 16(a) of the Securities obligations may Exchange Act of 1934, Section 17(a) of the continue. See Public Utility Holding Company Act of 1935 or Instruction 1(b). Section 30(f) of the Investment Company Act of 1940 (Print or Type Responses) -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* DeParle Nancy-Ann -------------------------------------------------------------------------------- (Last) (First) (Middle) 21250 Hawthorne Boulevard, Suite 800 -------------------------------------------------------------------------------- (Street) Torrance, CA 90503 -------------------------------------------------------------------------------- (City) (State) (Zip) 2. Issuer Name and Ticker or Trading Symbol DaVita Inc. (DVA) ----------------------------------- 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) ______________ 4. Statement for Month/Year 06/2002 --------------------------------------------------- 5. If Amendment, Date of Original (Month/Year)_________________________________ 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director ___ Officer ___ 10% Owner ___ Other --- (give title below) (specify below) ---------------------------------------------------------------- 7. 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 Acquired, Disposed of, or Beneficially Owned ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature (Instr. 3) action action or Disposed of (D) Securities ship of In- Date Code (Instr. 3, 4 and 5) Beneficially Form: direct (Instr. 8) Owned at Direct Bene- (Month/ ----------------------------------------------- End of Month (D) or ficial Day/ Indirect Owner- Year) (A) or (Instr. 3 and 4) (I) ship Code V Amount (D) Price (Instr. 4) (Instr. 4) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 03/31/2002 /(1)/A V 118 A $ 0 D ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 06/03/2002 P 100 A $23.11 D ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 06/30/2002 /(2)/A V 126 A $ 0 613 D ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ 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 4(b)(v). Potential persons who are to respond to the (Over) collection of information contained in this form SEC 1474 (3-99) are not required to respond unless the form displays a currently valid OMB control number. FORM 4 (continued) Table II--Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative Security 2. Conver- 3. Trans- 4. Trans- 5. Number of Deriv- 6. Date Exer- (Instr. 3) sion or action action ative Securities Ac- cisable and Exercise Date Code quired (A) or Dis- Expiration Price of (Instr. 8) posed of (D) Date Deri- (Month/ (Instr. 3, 4, and 5) (Month/Day/ vative Day/ Year) Security Year) ---------------------------- Date Expira- --------------------------------------- Exer- tion cisable Date Code V (A) (D) ------------------------------------------------------------------------------------------------------------------------------------ Stock Options (Right to buy) $25.22 04/11/2002 A /(3)/ V 8,000 04/11/2003 /(4)/ 04/11/2007 ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ 7. Title and Amount of 8. Price 9. Number 10. Owner- 11. Nature Underlying Securities of of Deriv- ship of (Instr. 3 and 4) Deriv- ative Form Indirect ative Secur- of Deriv- Benefi- Secur- ities ative cial ity Bene- Security Owner- (Instr. ficially Direct ship 5) Owned (D) or (Instr. 4) at End Indirect --------------------------- of (I) Month (Instr. 4) Amount or (Instr. 4) Title Number of Shares ------------------------------------------------------------------------------------------ Common Stock 8,000 0 8,000 D ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ Explanation of Responses: See attached page(s) ** 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. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. /s/ DeParle, Nancy-Ann 7/8/02 ---------------------------------- ----------- **Signature of Reporting Person Date DeParle, Nancy-Ann 21250 Hawthorne Boulevard, Suite 800 Torrance, CA. 90503 DaVita Inc. (DVA) 06/2002 Page 2 FORM 4 (continued) Explanation of Responses Name: DeParle, Nancy-Ann Statement for Month/Year: 06/2002 21250 Hawthorne Boulevard, Issuer Name: DaVita Inc: (DVA) Suite 800 Torrance CA 90503 -------------------------------------------------------------------------------- Note: 1 Grant of Restricted Units which will vest on March 31, 2003. Note: 2 Grant of Restricted Units which will vest on June 30, 2003. Note: 3 Nonqualified stock options granted under the First Amended and Restated 1997 Equity Compensation Plan. Note: 4 The option vests in two equal annual installments beginning on April 11, 2003. Page 3 of 3