0001127602-16-044831.txt : 20160303 0001127602-16-044831.hdr.sgml : 20160303 20160303163020 ACCESSION NUMBER: 0001127602-16-044831 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160301 FILED AS OF DATE: 20160303 DATE AS OF CHANGE: 20160303 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: Penczek Ronald W CENTRAL INDEX KEY: 0001659075 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16751 FILM NUMBER: 161481590 MAIL ADDRESS: STREET 1: 120 MONUMENT CIRCLE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2016-03-01 0001156039 Anthem, Inc. ANTM 0001659075 Penczek Ronald W 120 MONUMENT CIRCLE INDIANAPOLIS IN 46204 1 SVP, Chief Accounting Officer Common Stock 2016-03-01 4 A 0 570 0 A 2559 D Common Stock 2016-03-01 4 F 0 216 131.80 D 2343 D Common Stock 2016-03-02 4 F 0 31 134.09 D 2312 D Employee Stock Option (Right to Buy) 131.80 2016-03-01 4 A 0 2432 0 A 2026-03-01 Common Stock 2432 2432 D Represents restricted share units. Restrictions lapse as follows: 190 shares each on 3/1/2017, 3/1/2018 and 3/1/2019. PAYMENT OF TAX LIABILITY BY WITHHOLDING STOCK INCIDENT TO THE VESTING OF PREVIOUSLY GRANTED RESTRICTED STOCK. The option represents a right to purchase a total of 2,432 shares, and is exercisable in six semi-annual installments, with four installments of 405 shares each and two installments of 406 shares each, beginning on September 1, 2016, which is the six-month anniversary of the option grant date. /s/ Kathleen S. Kiefer, Attorney in fact 2016-03-03