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