0001127602-17-010158.txt : 20170303
0001127602-17-010158.hdr.sgml : 20170303
20170303162423
ACCESSION NUMBER: 0001127602-17-010158
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: ZIELINSKI THOMAS C
CENTRAL INDEX KEY: 0001234091
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16751
FILM NUMBER: 17663965
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2017-03-01
0001156039
Anthem, Inc.
ANTM
0001234091
ZIELINSKI THOMAS C
120 MONUMENT CIRCLE
INDIANAPOLIS
IN
46204
1
EVP & General Counsel
Common Stock
2017-03-01
4
F
0
559
166.97
D
17376
D
Common Stock
2017-03-01
4
A
0
3744
0
A
21120
D
Common Stock
2017-03-02
4
M
0
5000
108.35
A
26120
D
Common Stock
2017-03-02
4
M
0
6762
131.80
A
32882
D
Common Stock
2017-03-02
4
M
0
11174
146.93
A
44056
D
Common Stock
2017-03-02
4
S
0
21908
166.27
D
22148
D
Common Stock
2017-03-02
4
S
0
1028
166.75
D
21120
D
Common Stock
2017-03-02
4
F
0
605
165.97
D
20515
D
Employee Stock Option (Right to Buy)
166.97
2017-03-01
4
A
0
15314
0
A
2027-03-01
Common Stock
15314
15314
D
Employee Stock Option (Right to Buy)
108.35
2017-03-02
4
M
0
5000
0
D
2021-06-02
Common Stock
5000
16191
D
Employee Stock Option (Right to Buy)
131.80
2017-03-02
4
M
0
6762
0
D
2026-03-01
Common Stock
6762
13527
D
Employee Stock Option (Right to Buy)
146.93
2017-03-02
4
M
0
11174
0
D
2025-03-02
Common Stock
11174
5588
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: 1,248 shares each on 3/1/2018, 3/1/2019 and 3/1/2020.
This transaction was executed in multiple trades at prices ranging from $165.74 to $166.73. 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 $166.74 to $166.78. 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 represents a right to purchase a total of 15,314 shares, and is exercisable in six semi-annual installments, with four installments of 2,552 shares each and two installments of 2,553 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 21,191 shares, and is exercisable in six semi-annual installments with one installment of 3,531 shares and five installments of 3,532 shares each beginning on 12/2/14, which is the six-month anniversary of the date on which the option was granted.
The option represents a right to purchase a total of 20,289 shares, and is exercisable in six semi-annual installments, with three installments of 3,381 shares each and three installments of 3,382 shares each, beginning on September 1, 2016, which is the six-month anniversary of the option grant date.
The option represents a right to purchase a total of 16,762 shares, and is exercisable in six semi annual installments with two installments of 2,793 shares each and four installments of 2,794 shares each beginning on September 2, 2015, 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