=============================================================================== /------------------------------/ / OMB APPROVAL / /------------------------------/ / OMB Number: 3235-0287 / / Expires: January 31, 2005 / / Estimated average burden / / hours per response...... 0.5 / /------------------------------/ +--------+ | 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) -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* Thiry Kent J. -------------------------------------------------------------------------------- (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 08/2002 --------------------------------------------------- 5. If Amendment, Date of Original (Month/Year) --------------------------------- 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director X Officer 10% Owner Other --- --- --- --- (give title below) (specify below) Chairman and CEO ---------------------------------------------------------------- 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 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) ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 02/13/2002 A/(1)/ V 28,925 A $0.00 D ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 08/08/2002 G V 4,166/(2)/ D $0.00 110,093 D ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 53,666/(3)/ I By Trust ------------------------------------------------------------------------------------------------------------------------------------ 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 collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. Table II--Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ----------------------------------------------------------------------------------------------------------------------------- 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 --------------------------------------------------- Code V (A) (D) ----------------------------------------------------------------------------------------------------------------------------- Stock Options (Right to Buy) $24.20 02/13/2002 A/(4)/ V 100,000 ----------------------------------------------------------------------------------------------------------------------------- Stock Options (Right to Buy) $24.20 02/13/2002 A/(6)/ V 500,000 ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- Table II--Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ------------------------------------------------------------------------------------------------------------------------------------ 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.5) ficially Bene- Owner- -------------------------------------------- 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) ------------------------------------------------------------------------------------------------------------------------------------ 02/13/2004/(5)/ 02/13/2007 Common Stock 100,000 100,000 D ------------------------------------------------------------------------------------------------------------------------------------ 02/13/2004/(5)/ 02/13/2007 Common Stock 500,000 500,000 D ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: See attached pages 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 provided is insufficient, see Instruction 6 for procedure. FORM 4 (continued) Explanation of Responses /s/ Kent J. Thiry August 30, 2002 ------------------------------- ----------------- **Signature of Reporting Person Date Thiry, Kent J. 21250 Hawthorne Boulevard, Suite 800 Torrance, CA 90503 DaVita, Inc. (DVA) 08/2002 Name: Thiry, Kent J. Statement for Month/Year: 08/2002 21250 Hawthorne Boulevard, Suite 800 Issuer Name: DaVita Inc. (DVA) Torrance, CA 90503 -------------------------------------------------------------------------------- Note: 1 Grant of Restricted Units which vest in three equal annual installments beginning on February 8, 2004. Note: 2 Transfer of shares to the Thiry-O'Leary Living Trust. Note: 3 Includes the 4,166 shares that were transferred to the Thiry-O'Leary Living Trust on August 8, 2002. Note: 4 Nonqualified stock options granted under the First Amended and Restated 1997 Equity Compensation Plan. Note: 5 The option vests 50% on the second anniversary date of the grant and 25% on each of the third and fourth anniversary dates of the grant. Note: 6 Nonqualified stock options granted under the Amended and Restated 1999 Equity Compensation Plan.