0001156039-21-000096.txt : 20211103 0001156039-21-000096.hdr.sgml : 20211103 20211103163059 ACCESSION NUMBER: 0001156039-21-000096 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211101 FILED AS OF DATE: 20211103 DATE AS OF CHANGE: 20211103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kendrick Charles Morgan JR CENTRAL INDEX KEY: 0001887908 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16751 FILM NUMBER: 211375937 MAIL ADDRESS: STREET 1: 220 VIRGINIA AVE 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_163597144126050.xml FORM 4 X0306 4 2021-11-01 0 0001156039 Anthem, Inc. ANTM 0001887908 Kendrick Charles Morgan JR 220 VIRGINIA AVE INDIANAPOLIS IN 46204 0 1 0 0 EVP & President, Commercial Common Stock 2021-11-01 4 A 0 525 0 A 11474 D Employee Stock Option (Right to Buy) 428.76 2021-11-01 4 A 0 2152 0 A 2031-11-01 Common Stock 2152.0 2152 D Represents restricted share units. Restrictions lapse as follows: 175 shares each on 11/01/2022, 11/01/2023 and 11/01/2024. The option represents a right to purchase a total of 2,152 shares, and is exercisable in three annual installments, with two installments of 717 shares each and one installment of 718 shares, beginning on 11/01/2022, which is the one-year anniversary of the option grant date. /s/ Kathleen S. Kiefer, Attorney in fact 2021-11-03