Initial Statement of Beneficial Ownership (3)
30 September 2022 - 7:46AM
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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OMB APPROVAL
OMB Number:
3235-0104
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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
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Ban Kevin M. |
2. Date of Event Requiring Statement (MM/DD/YYYY)
9/20/2022
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3. Issuer Name and Ticker or Trading Symbol
Walgreens Boots Alliance, Inc. [WBA]
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(Last)
(First)
(Middle)
C/O WALGREENS BOOTS ALLIANCE, INC., 108 WILMOT ROAD |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) EVP, Chief Medical Officer / |
(Street)
DEERFIELD, IL 60015
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 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) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 4964 (1)(2) | 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. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Employee Stock Option (Right to Buy) | (3) | 11/1/2030 | Common Stock | 15470.0 | $34.04 | D | |
Employee Stock Option (Right to Buy) | (4) | 11/1/2031 | Common Stock | 15644.0 | $47.32 | D | |
Explanation of Responses: |
(1) | Reflects shares underlying restricted stock units ("RSUs") granted under the amended and restated Walgreens Boots Alliance, Inc. 2013 Omnibus Incentive Plan (together with the related award agreement and the applicable election forms thereunder, the "2013 Plan"), RSUs granted under the Walgreens Boots Alliance, Inc. 2021 Omnibus Incentive Plan (together with the related award agreement and the applicable election forms thereunder, the "2021 Plan") and shares underlying restricted stock units issued in lieu of dividends (through September 15, 2022) on the outstanding restricted stock units. (continued in footnote 2) |
(2) | (continued from footnote 1) RSUs were granted and vest as follows (a) 2,059 RSUs granted on November 1, 2020 that vest with respect to 1,028 units on November 1, 2022, and with respect to 1,031 units on November 1, 2023; and (b) 2,607 RSUs granted on November 1, 2021 that vest with respect to 868 units on November 1, 2022, with respect to 868 units on November 1, 2023, and with respect to 871 units on November 1, 2024. |
(3) | The option vests with respect to 5,151 shares on November 1, 2021, with respect to 5,152 shares on November 1, 2022, and with respect to 5,167 shares on November 1, 2023, subject to acceleration or forfeiture in certain circumstances in accordance with the terms and conditions of the 2013 Plan. |
(4) | The option vests with respect to 5,209 shares on November 1, 2022, with respect to 5,209 shares on November 1, 2023, and with respect to 5,226 shares on November 1, 2024, subject to acceleration or forfeiture in certain circumstances in accordance with the terms and conditions of the 2021 Plan. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Ban Kevin M. C/O WALGREENS BOOTS ALLIANCE, INC. 108 WILMOT ROAD DEERFIELD, IL 60015 |
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| EVP, Chief Medical Officer |
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Signatures
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/s/ Kevin M. Ban by Cherita Thomas, Attorney-in-Fact | | 9/29/2022 |
**Signature of Reporting Person | Date |
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 5(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. |
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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