0001127602-20-009415.txt : 20200304 0001127602-20-009415.hdr.sgml : 20200304 20200304163231 ACCESSION NUMBER: 0001127602-20-009415 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200302 FILED AS OF DATE: 20200304 DATE AS OF CHANGE: 20200304 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: 20687658 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: 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 2020-03-02 0001156039 Anthem, Inc. ANTM 0001659075 Penczek Ronald W 220 VIRGINIA AVENUE INDIANAPOLIS IN 46204 1 SVP, Chief Accounting Officer Common Stock 2020-03-02 4 F 0 1424 271.27 D 527.86 D Common Stock 2020-03-02 4 A 0 369 0 A 896.86 D Common Stock 2020-03-02 4 A 0 4030 0 A 4926.86 D Employee Stock Option (Right to Buy) 271.27 2020-03-02 4 A 0 1960 0 A 2030-03-02 Common Stock 1960 1960 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: 123 shares each on 3/2/2021, 3/2/2022 and 3/2/2023. Represents performance based restricted share units. Restrictions lapse on 3/2/2020. Balance includes 13.86 shares acquired through a dividend reinvestment plan. The option represents a right to purchase a total of 1,960 shares, and is exercisable in three annual installments, with two installments of 653 shares each and one installment of 654 shares, beginning on 3/2/2021, which is the one-year anniversary of the option grant date. /s/ Kathleen S. Kiefer, Attorney in fact 2020-03-04