0001127602-17-010581.txt : 20170307 0001127602-17-010581.hdr.sgml : 20170307 20170307161833 ACCESSION NUMBER: 0001127602-17-010581 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170303 FILED AS OF DATE: 20170307 DATE AS OF CHANGE: 20170307 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: 17672170 MAIL ADDRESS: STREET 1: 120 MONUMENT CIRCLE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-03-03 0001156039 Anthem, Inc. ANTM 0001659075 Penczek Ronald W 120 MONUMENT CIRCLE INDIANAPOLIS IN 46204 1 SVP, Chief Accounting Officer Common Stock 2017-03-03 4 F 0 176 166.00 D 1448 D Common Stock 2017-03-03 4 S 0 68 165.85 D 1380 D Common Stock 2017-03-03 4 M 0 286 89.44 A 1666 D Common Stock 2017-03-03 4 S 0 286 165.86 D 1380 D Common Stock 2017-03-06 4 S 0 375 165.28 D 1005 D Employee Stock Option (Right to Buy) 89.44 2017-03-03 4 M 0 286 0 D 2021-03-03 Common Stock 286 0 D 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 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 2017-03-07