0001156039-21-000029.txt : 20210303 0001156039-21-000029.hdr.sgml : 20210303 20210303163442 ACCESSION NUMBER: 0001156039-21-000029 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210301 FILED AS OF DATE: 20210303 DATE AS OF CHANGE: 20210303 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: 21709525 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 wf-form4_161480725900279.xml FORM 4 X0306 4 2021-03-01 0 0001156039 Anthem, Inc. ANTM 0001659075 Penczek Ronald W 220 VIRGINIA AVENUE INDIANAPOLIS IN 46204 0 1 0 0 SVP, Chief Accounting Officer Common Stock 2021-03-01 4 F 0 818 311.48 D 2419 D Common Stock 2021-03-01 4 A 0 322 0 A 2741 D Common Stock 2021-03-01 4 A 0 2573 0 A 5314 D Common Stock 2021-03-02 4 F 0 42 311.66 D 5272 D Employee Stock Option (Right to Buy) 311.48 2021-03-01 4 A 0 1315 0 A 2031-03-01 Common Stock 1315.0 1315 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: 107 shares each on 3/1/2022 and 3/1/2023, and 108 shares on 3/1/2024. Represents performance based restricted share units. Restrictions lapse on 3/1/2021. Balance includes 7.89 shares acquired on December 22, 2020 through a dividend reinvestment plan. The option represents a right to purchase a total of 1,315 shares, and is exercisable in three annual installments, with two installments of 438 shares each and one installment of 439 shares, beginning on 3/1/2022, which is the one-year anniversary of the option grant date. /s/ Kathleen S. Kiefer, Attorney in fact 2021-03-03