0001127602-17-010136.txt : 20170303 0001127602-17-010136.hdr.sgml : 20170303 20170303161704 ACCESSION NUMBER: 0001127602-17-010136 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170301 FILED AS OF DATE: 20170303 DATE AS OF CHANGE: 20170303 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: 17663787 MAIL ADDRESS: STREET 1: 120 MONUMENT CIRCLE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-03-01 0001156039 Anthem, Inc. ANTM 0001659075 Penczek Ronald W 120 MONUMENT CIRCLE INDIANAPOLIS IN 46204 1 SVP, Chief Accounting Officer Common Stock 2017-03-01 4 F 0 72 166.97 D 1248 D Common Stock 2017-03-01 4 A 0 525 0 A 1773 D Common Stock 2017-03-01 4 M 0 810 131.80 A 2583 D Common Stock 2017-03-01 4 S 0 810 166.44 D 1773 D Common Stock 2017-03-02 4 F 0 31 165.97 D 1742 D Common Stock 2017-03-02 4 S 0 118 166.81 D 1624 D Common Stock 2017-03-02 4 M 0 285 89.44 A 1909 D Common Stock 2017-03-02 4 S 0 285 166.81 D 1624 D Employee Stock Option (Right to Buy) 166.97 2017-03-01 4 A 0 2141 0 A 2027-03-01 Common Stock 2141 2141 D Employee Stock Option (Right to Buy) 131.80 2017-03-01 4 M 0 810 0 D 2026-03-01 Common Stock 810 1622 D Employee Stock Option (Right to Buy) 89.44 2017-03-02 4 M 0 285 0 D 2021-03-03 Common Stock 285 286 D PAYMENT OF TAX LIABILITY BY WITHHOLDING STOCK INCIDENT TO THE VESTING OF PREVIOUSLY GRANTED RESTRICTED STOCK. Represents restricted share units. Restrictions lapse as follows: 175 shares each on 3/1/2018, 3/1/2019 and 3/1/2020. The option represents a right to purchase a total of 2,141 shares, and is exercisable in six semi-annual installments, with one installment of 356 shares and five installments of 357 shares each, beginning on September 1, 2017, which is the six-month anniversary of the option grant date. The option represents a right to purchase a total of 2,432 shares, became 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 was the six-month anniversary of the option grant date. The option represents a right to purchase a total of 1,711 shares, and is exercisable in five semi-annual installments of 285 shares each and one installment of 286 shares beginning on September 3, 2014, which is the six-month anniversary of the date on which the option was granted. /s/ Kathleen S. Kiefer, Attorney in fact 2017-03-03