SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
KORNHAUSER RICHARD W

(Last) (First) (Middle)
1715 WEST 38TH STREET

(Street)
CHATTANOOGA TN 37409

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CHATTEM INC [ CHTT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP, Marketing - OTC
3. Date of Earliest Transaction (Month/Day/Year)
07/09/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. 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 (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Shares 07/09/2004 M 7,500 A $4.935 8,100 D
Common Shares 07/09/2004 S 7,500 D $28.6533 600 D
Common Shares 1,387.345 I By 401(k)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction 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 (Month/Day/Year) 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: 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
2000 Stock Option Plan (Right to Buy) $4.935 07/09/2004 M 7,500 04/26/2002(1) 04/26/2011 Common Shares 7,500 $0 7,500 D
2000 Stock Option Plan (Right to Buy) $6.75 05/16/2001(1) 05/16/2010 Common Shares 5,000 5,000 D
2000 Stock Option Plan (Right to Buy) $8.435 03/04/2003(1) 03/04/2012 Common Shares 7,000 7,000 D
2000 Stock Option Plan (Right to Buy) $14.45 06/10/2003(1) 06/10/2012 Common Shares 22,000 22,000 D
2003 Stock Option Plan (right to buy) $14.5 05/29/2004(1) 05/29/2013 Common Shares 40,000 40,000 D
2003 Stock Option Plan (Right to Buy) $28.39 04/27/2005(1) 04/27/2014 Common Shares 30,000 30,000 D
Explanation of Responses:
1. Options vest in four equal annual installments beginning on the first exercise date.
Remarks:
/s/ Kornhauser, Richard W. 07/12/2004
** 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 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).
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