-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, NzwjOfWwG3YKT+h0Dj+8rD2DVGr9tOMHGNoYy0+MknmiXfVFp6moA1E9UNLKPS6b bBVMdy8CbJIXhmiHImithQ== 0001235110-06-000010.txt : 20060104 0001235110-06-000010.hdr.sgml : 20060104 20060104123542 ACCESSION NUMBER: 0001235110-06-000010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051230 FILED AS OF DATE: 20060104 DATE AS OF CHANGE: 20060104 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: QWEST COMMUNICATIONS INTERNATIONAL INC CENTRAL INDEX KEY: 0001037949 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE COMMUNICATIONS (NO RADIO TELEPHONE) [4813] IRS NUMBER: 841339282 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1801 CALIFORNIA ST CITY: DENVER STATE: CO ZIP: 80202 BUSINESS PHONE: 3039921400 MAIL ADDRESS: STREET 1: 1801 CALIFORNIA ST CITY: DENVER STATE: CO ZIP: 80202 FORMER COMPANY: FORMER CONFORMED NAME: QUEST COMMUNICATIONS INTERNATIONAL INC DATE OF NAME CHANGE: 19970416 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MATTHEWS CAROLINE S CENTRAL INDEX KEY: 0001194194 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15577 FILM NUMBER: 06505702 BUSINESS ADDRESS: STREET 1: ANTHEM, INC STREET 2: 120 MONUMENT CIRCLE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 BUSINESS PHONE: 317-488-6000 MAIL ADDRESS: STREET 1: C/O ANTHEM, INC STREET 2: 120 MONUMENT CIRCLE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2005-12-30 0001037949 QWEST COMMUNICATIONS INTERNATIONAL INC Q 0001194194 MATTHEWS CAROLINE S QWEST COMMUNICATIONS INTERNATIONAL INC. 1800 CALIFORNIA, SUITE 5200 DENVER CO 80202 1 0 0 0 Phantom Stock 2005-12-30 4 A 0 740.08 0 A Common Stock 740.08 740.08 D Stock option (right to buy) 5.60 2006-01-03 4 A 0 40000 0 A 2016-01-03 Common Stock 40000 40000 D Convertible into common stock on a one-for-one basis. Immediately exercisable. Not applicable. This stock option vests in four equal annual installments beginning on January 3, 2007. This option grant was approved by the Board of Directors in accordance with Rule 16b-3(d). Jennifer A. D'Alessandro, as attorney-in-fact 2006-01-04 -----END PRIVACY-ENHANCED MESSAGE-----