0001127602-19-034460.txt : 20191206 0001127602-19-034460.hdr.sgml : 20191206 20191206161510 ACCESSION NUMBER: 0001127602-19-034460 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191204 FILED AS OF DATE: 20191206 DATE AS OF CHANGE: 20191206 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: 191273285 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: 220 VIRGINIA AVENUE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 BUSINESS PHONE: 3174886000 MAIL ADDRESS: STREET 1: 220 VIRGINIA AVENUE 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 2019-12-04 0001156039 Anthem, Inc. ANTM 0001234091 ZIELINSKI THOMAS C 220 VIRGINIA AVENUE INDIANAPOLIS IN 46204 1 EVP & General Counsel Common Stock 2019-12-04 4 M 0 3064 108.35 A 35247 D Common Stock 2019-12-04 4 M 0 1892 232.04 A 37139 D Common Stock 2019-12-04 4 M 0 2553 166.97 A 39692 D Common Stock 2019-12-04 4 S 0 10600 288.33 D 29092 D Employee Stock Option (Right to Buy) 108.35 2019-12-04 4 M 0 3064 0 D 2021-06-02 Common Stock 3064 0 D Employee Stock Option (Right to Buy) 232.04 2019-12-04 4 M 0 1892 0 D 2028-03-01 Common Stock 1892 5678 D Employee Stock Option (Right to Buy) 166.97 2019-12-04 4 M 0 2553 0 D 2027-03-01 Common Stock 2553 2553 D This transaction was executed in multiple trades at prices ranging from $288.00 to $288.85. 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 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 December 2, 2014, 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 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. 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. /s/ Kathleen S. Kiefer, Attorney in fact 2019-12-06