0001127602-17-031738.txt : 20171109 0001127602-17-031738.hdr.sgml : 20171109 20171109161848 ACCESSION NUMBER: 0001127602-17-031738 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171107 FILED AS OF DATE: 20171109 DATE AS OF CHANGE: 20171109 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: 171191101 MAIL ADDRESS: STREET 1: 120 MONUMENT CIRCLE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 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 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-11-07 0001156039 Anthem, Inc. ANTM 0001659075 Penczek Ronald W 120 MONUMENT CIRCLE INDIANAPOLIS IN 46204 1 SVP, Chief Accounting Officer Common Stock 2017-11-07 4 M 0 217 146.93 A 1222 D Common Stock 2017-11-07 4 M 0 405 131.80 A 1627 D Common Stock 2017-11-07 4 M 0 356 166.97 A 1983 D Common Stock 2017-11-07 4 S 0 978 217.42 D 1005 D Employee Stock Option (Right to Buy) 146.93 2017-11-07 4 M 0 217 0 D 2025-03-02 Common Stock 217 217 D Employee Stock Option (Right to Buy) 131.80 2017-11-07 4 M 0 405 0 D 2026-03-01 Common Stock 405 1217 D Employee Stock Option (Right to Buy) 166.97 2017-11-07 4 M 0 356 0 D 2027-03-01 Common Stock 356 1785 D The option represents a right to purchase a total of 1,301 shares, became exercisable in six semi-annual installments, with one installment of 216 shares and five installments of 217 shares each, beginning on September 2, 2015, which was the six-month anniversary of the option grant date. The option represents a right to purchase a total of 2,432 shares, and is 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 is the six-month anniversary of the option grant date. 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. /s/ Kathleen S. Kiefer, Attorney in fact 2017-11-09