-----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, QwnZi1gshsG2GscAEmZ6zkM3zxxgIC8zkc9AS0qRAcTgMQfJKyq8ONtK3wu3wI87 GIiUcCsC3jJt4Xp9XObiTg== 0000019520-05-000028.txt : 20050128 0000019520-05-000028.hdr.sgml : 20050128 20050128144840 ACCESSION NUMBER: 0000019520-05-000028 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050126 FILED AS OF DATE: 20050128 DATE AS OF CHANGE: 20050128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GUERRY ALEXANDER ZAN III CENTRAL INDEX KEY: 0001156154 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-05905 FILM NUMBER: 05557709 BUSINESS ADDRESS: BUSINESS PHONE: 4238212037 MAIL ADDRESS: STREET 1: C/O CHATTEM INC STREET 2: 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 gue213.xml X0202 4 2005-01-26 0 0000019520 CHATTEM INC CHTT 0001156154 GUERRY ALEXANDER ZAN III 1715 WEST 38TH STREET CHATTANOOGA TN 37409 1 1 0 0 Chairman and CEO Common Shares 2005-01-26 4 A 0 12000 0 A 311282.000 D Common Shares 18293.040 I By 401(k) Common Shares 938228.000 I By Corporation 2000 Stock Option Plan (Right to Buy) 4.9350 2002-04-26 2011-04-26 Common Shares 100000.00 100000.00 D 2003 Stock Option Plan (right to buy) 14.5000 2004-05-29 2013-05-29 Common Shares 125000.00 125000.00 D 2003 Stock Option Plan (Right to Buy) 28.3900 2005-04-27 2014-04-27 Common Shares 60000.00 60000.00 D Call option (obligation to sell) 34.4762 2005-03-22 2005-03-22 Common Shares 56500.00 1.00 D Call option (obligation to sell) 34.0000 2005-03-25 2005-03-25 Common Shares 100000.00 1.00 I By Corporation Put option (right to sell) 18.1263 2005-03-22 2005-03-22 Common Shares 56500.00 1.00 D Put option (right to sell) 17.8800 2005-03-25 2005-03-25 Common Shares 100000.00 1.00 I By Corporation Shares held by reporting persons through Employer 401(k) Plan. The Plan allows account shares to be purchased on self-directed basis. Shares held by Hamico, Inc. (charitable organization) on whose board of trustees reporting person sits. Beneficial ownership is disclaimed. Options vest in four equal annual installments beginning on the first exercise date. The reporting person entered into a zero-cost collar arrangement pursuant to which he wrote a covered call option and purchased a put option. Only one of the options can be in the money on the expiration date, at which time the in-the-money option will be exercised, and the other option will expire. If neither option is in the money on the expiration date, both options will expire. Hamico, Inc. entered into a zero-cost collar arrangement pursuant to which it wrote a covered call option and purchased a put option. Only one of the options can be in- the-money on the expiration date, at which time the in-the-money option will be exercised, and the other option will expire. If neither option is in-the-money on the expiration date, both options will expire. /s/ Guerry III, Alexander (Zan) 2005-01-26 -----END PRIVACY-ENHANCED MESSAGE-----