0001127602-15-014191.txt : 20150408
0001127602-15-014191.hdr.sgml : 20150408
20150408162101
ACCESSION NUMBER: 0001127602-15-014191
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150406
FILED AS OF DATE: 20150408
DATE AS OF CHANGE: 20150408
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Anthem, Inc.
CENTRAL INDEX KEY: 0001156039
STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324]
IRS NUMBER: 352145715
STATE OF INCORPORATION: IN
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 120 MONUMENT CIRCLE
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
BUSINESS PHONE: 3174886000
MAIL ADDRESS:
STREET 1: 120 MONUMENT CIRCLE
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
FORMER COMPANY:
FORMER CONFORMED NAME: WELLPOINT, INC
DATE OF NAME CHANGE: 20100105
FORMER COMPANY:
FORMER CONFORMED NAME: WELLPOINT INC
DATE OF NAME CHANGE: 20041130
FORMER COMPANY:
FORMER CONFORMED NAME: ANTHEM INC
DATE OF NAME CHANGE: 20010730
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DeVeydt Wayne S
CENTRAL INDEX KEY: 0001321392
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16751
FILM NUMBER: 15759296
MAIL ADDRESS:
STREET 1: 120 MONUMENT CIRCLE
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2015-04-06
0001156039
Anthem, Inc.
ANTM
0001321392
DeVeydt Wayne S
120 MONUMENT CIRCLE
INDIANAPOLIS
IN
46204
1
EVP & Chief Financial Officer
Common Stock
2015-04-06
4
M
0
37012
66.23
A
156475.08
D
Common Stock
2015-04-06
4
M
0
27873
61.88
A
184348.08
D
Common Stock
2015-04-06
4
S
0
10528
153.17
D
173820.08
D
Common Stock
2015-04-06
4
S
0
13790
154.63
D
160030.08
D
Common Stock
2015-04-06
4
S
0
77904
155.50
D
82126.08
D
Common Stock
2015-04-06
4
S
0
12519
155.97
D
69607.08
D
Employee Stock Option (Right to Buy)
66.23
2015-04-06
4
M
0
37012
0
D
2019-03-01
Common Stock
37012
0
D
Employee Stock Option (Right to Buy)
61.88
2015-04-06
4
M
0
27873
0
D
2020-03-01
Common Stock
27873
13938
D
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on March 5, 2015.
This transaction was executed in multiple trades at prices ranging from $152.90 to $153.89. The price reported reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
This transaction was executed in multiple trades at prices ranging from $153.90 to $154.89. The price reported reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
This transaction was executed in multiple trades at prices ranging from $154.90 to $155.89. The price reported reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
This transaction was executed in multiple trades at prices ranging from $155.90 to $156.04. The price reported reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
The option, representing a right to purchase a total of 37,012 shares, became exercisable in two equal semi-annual installments of 6,168 shares each and four equal semi-annual installments of 6,169 shares each beginning on September 1, 2012, which was the six-month anniversary of the date on which the option was granted.
The option, representing a right to purchase a total of 41,811 shares, became exercisable in three equal semi-annual installments of 6,968 shares each and three equal semi-annual installments of 6,969 shares each beginning on September 1, 2013, which was the six-month anniversary of the date on which the option was granted.
/s/ Kathleen S. Kiefer, Attorney in fact
2015-04-08