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