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