0001127602-18-010119.txt : 20180305
0001127602-18-010119.hdr.sgml : 20180305
20180305165409
ACCESSION NUMBER: 0001127602-18-010119
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180301
FILED AS OF DATE: 20180305
DATE AS OF CHANGE: 20180305
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: 18666893
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
2018-03-01
0001156039
Anthem, Inc.
ANTM
0001234091
ZIELINSKI THOMAS C
120 MONUMENT CIRCLE
INDIANAPOLIS
IN
46204
1
EVP & General Counsel
Common Stock
2018-03-01
4
F
0
800
232.04
D
16644
D
Common Stock
2018-03-01
4
A
0
2694
0
A
19338
D
Common Stock
2018-03-02
4
F
0
5482
233.08
D
13856
D
Common Stock
2018-03-02
4
A
0
12228
0
A
26084
D
Employee Stock Option (Right to Buy)
232.04
2018-03-01
4
A
0
11354
0
A
2028-03-01
Common Stock
11354
11354
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: 898 shares each on 3/1/2019, 3/1/2020 and 3/1/2021.
Represents performance based restricted share units. Restrictions lapsed on 3/2/18.
The option represents a right to purchase a total of 11,354 shares, and is exercisable in six semi-annual installments, with four installments of 1,892 shares each and two installments of 1,893 shares each, beginning on September 1, 2018, which is the six-month anniversary of the option grant date.
/s/ Kathleen S. Kiefer, Attorney in fact
2018-03-05