-----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, AYy1twBHbhRtx9UzCQj3S7ugIH13GBCQ5n+p4a08wPWpX4qudU1MNlgnQr256tVy IUKzbxw/4s2ye9tkboaNdg== 0000019520-04-000158.txt : 20041202 0000019520-04-000158.hdr.sgml : 20041202 20041202094538 ACCESSION NUMBER: 0000019520-04-000158 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041201 FILED AS OF DATE: 20041202 DATE AS OF CHANGE: 20041202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STACY BILL W CENTRAL INDEX KEY: 0001236873 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-05905 FILM NUMBER: 041178999 MAIL ADDRESS: STREET 1: 1715 WEST 38TH STREET CITY: CHATTANOOGA STATE: TN ZIP: 37409 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 4 1 sta197.xml X0202 4 2004-12-01 0 0000019520 CHATTEM INC CHTT 0001236873 STACY BILL W WILLIAMS ISLAND FERRY RD CHATTANOOGA TN 37404 1 0 0 0 Common Shares 2004-12-01 4 A 0 331 36.2200 A 11080.000 D 1999 Stock Option Plan (Right to Buy) 15.8550 2003-05-07 2012-05-07 Common Shares 5000.00 5000.00 D 1999 Stock Option Plan (Right to Buy) 15.0100 2004-04-16 2013-04-16 Common Shares 1500.00 1500.00 D 1999 Stock Option Plan (Right to Buy) 27.2500 2005-04-14 2014-04-14 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. Options vest in four equal annual installments beginning on the first exercise date. By: Alec Taylor, Attorney-in-fact for 2004-12-01 -----END PRIVACY-ENHANCED MESSAGE-----