-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, DuxgsEmQO4tDMzTATBogJG9N70mcd5d7YrZj/rkBpd6N3bBm+vVIUWCXy7pJkjGO owwk7i60DP/h2TxtrsXU1A== 0000019520-04-000023.txt : 20040129 0000019520-04-000023.hdr.sgml : 20040129 20040129100651 ACCESSION NUMBER: 0000019520-04-000023 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040127 FILED AS OF DATE: 20040129 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHATTEM INC CENTRAL INDEX KEY: 0000019520 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 620156300 STATE OF INCORPORATION: TN FISCAL YEAR END: 1130 BUSINESS ADDRESS: STREET 1: 1715 W 38TH ST CITY: CHATTANOOGA STATE: TN ZIP: 37409 BUSINESS PHONE: 4238214571 MAIL ADDRESS: STREET 1: 1715 W 38TH ST CITY: CHATTANOOGA STATE: TN ZIP: 37409 FORMER COMPANY: FORMER CONFORMED NAME: CHATTEM DRUG & CHEMICAL CO DATE OF NAME CHANGE: 19790111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BOSWORTH ROBERT E CENTRAL INDEX KEY: 0001156142 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-05905 FILM NUMBER: 04550830 BUSINESS ADDRESS: STREET 1: C/O CHATTEM INC STREET 2: 1715 WEST 38TH STREET CITY: CHATTANOOGA STATE: TN ZIP: 37409 BUSINESS PHONE: 4238212037 MAIL ADDRESS: STREET 1: C/O CHATTEM INC STREET 2: 1715 WEST 38TH STREET CITY: CHATTANOOGA STATE: TN ZIP: 37409 4 1 bos123.xml X0201 4 2004-01-27 0 0000019520 CHATTEM INC CHTT 0001156142 BOSWORTH ROBERT E JAMES BLDG. 12TH FLOOR - 1204 735 BROAD STREET CHATTANOOGA TN 37404- 1 0 0 0 Common Shares 2004-01-27 4 A 0 404 19.8000 A 8157.000 D Common Shares 938228.000 I By Corporation Common Shares 23556.000 I By IRA Common Shares 1200.000 I By Trust FBO Child 1999 Stock Option Plan (Right to Buy) 18.1250 2000-04-14 2009-04-14 Common Shares 2000.00 2000.00 D 1999 Stock Option Plan (Right to Buy) 6.9688 2001-04-19 2010-04-19 Common Shares 2000.00 2000.00 D 1999 Stock Option Plan (Right to Buy) 4.6600 2002-04-18 2011-04-18 Common Shares 2000.00 2000.00 D 1999 Stock Option Plan (Right to Buy) 13.5500 2003-04-17 2012-04-17 Common Shares 4000.00 4000.00 D 1999 Stock Option Plan (Right to Buy) 15.0100 2004-04-16 2013-04-16 Common Shares 2000.00 2000.00 D At the election of the reporting person, these shares were issued to the reporting person under the 1999 Stock Option Plan for Non-Employee directors in lieu of cash director fees. Shares held by Hamico, Inc. (charitable organization) on whose board of trustees reporting person sits. Beneficial ownership is disclaimed. Reflects shares previously owned indirectly through Chattem, Inc. 401 (k) plan Shares held by children or in trust for children of reporting person. Beneficial Ownership is disclaimed. Options vest in four equal annual installments beginning on the first exercise date. By: Alec Taylor, Attorney-in-fact for 2004-01-27 -----END PRIVACY-ENHANCED MESSAGE-----