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| FORM 4 | U.S. 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)
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1. Name and Address of Reporting Person*
LARKIN, JR., C. RAYMOND
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(Last) (First) (Middle)
21250 HAWTHORNE BLVD., SUITE 800
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(Street)
TORRANCE CA 90503
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(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol DaVita Inc. (DVA)
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3. I.R.S. Identification Number of Reporting Person, if an entity
(voluntary)
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4. Statement for Month/Year 08/2002
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
X Director Officer 10% Owner Other
--- --- --- ---
(give title below) (specify below)
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7. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
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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 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature
of action action or Disposed of (D) Securities ship of In-
Security Date Code (Instr. 3, 4 and 5) Beneficially Form: direct
(Instr. 3) (Month/ (Instr. 8) Owned at Direct Bene-
Day/ ----------------------------------------------- End of (D) or ficial
Year) Month Indirect Owner-
Code V Amount (A) or Price (Instr. 3 and 4) (I) ship
(D) (Instr. 4) (Instr. 4)
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Common Stock 03/31/2002 A/1/ V 217 A $0.00 D
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Common Stock 06/30/2002 A/2/ V 231 A $0.00 942 D
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Table II--Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative 2. Conver- 3. Trans- 4. Transac- 5. Number of Deriv-
Security (Instr. 3) sion or action tion Code ative Securities
Exercise Date (Instr. 8) Acquired (A) or
Price of (Month/ Disposed of (D)
Deriv- Day/ (Instr. 3, 4, and 5)
ative Year)
Security
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Code V (A) (D)
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Stock Options (Right to Buy) $25.22 04/11/2002 A/3/ V 18,000
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Table II--Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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6. Date Exer- 7. Title and Amount of 8. Price 9. Number 10. Owner- 11. Na-
cisable and Underlying Securities of of Deriv- ship ture
Expiration (Instr. 3 and 4) Deriv- ative Form of In-
Date ative Secur- of De- direct
(Month/Day/ Secur- ities rivative Bene-
Year) ity Bene- Securities ficial
(Instr. ficially Bene- Owner-
---------------------- ----------------------- 5) Owned ficially ship
Date Expira- Amount or at End Owned at (Instr.
Exer- tion Title Number of of End of 4)
cisable Date Shares Month Month(1)
(Instr. 4) (Instr. 4)
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04/11/2003/4/ 04/11/2007 Common Stock 18,000 18,000 D
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Explanation of Responses:
See Attached Page(s)
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
* If this 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).
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/ C. Raymond Larkin, Jr. 2 Sept. 2002
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**Signature of Reporting Person Date
LARKIN, JR., C. RAYMOND
21250 Hawthorne Blvd., Suite 800
Torrance, CA 90503
DaVita Inc. (DVA)
08/2002
FORM 4 (continued) Explanation of Responses
Name: LARKIN, JR., C. RAYMOND Statement for Month/Year: 08/2002
21250 Hawthorne Blvd., Suite 800 Issuer Name: DaVita Inc. (DVA)
Torrance, CA 90503
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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 according to the following schedule: 7,333 shares on
April 11, 2003, 7,333 shares on April 11, 2004 and 3,334 shares on
April 11 2005.