0000004977-01-500116.txt : 20011010
0000004977-01-500116.hdr.sgml : 20011010
ACCESSION NUMBER: 0000004977-01-500116
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20010930
FILED AS OF DATE: 20011009
SUBJECT COMPANY:
COMPANY DATA:
COMPANY CONFORMED NAME: AFLAC INC
CENTRAL INDEX KEY: 0000004977
STANDARD INDUSTRIAL CLASSIFICATION: ACCIDENT & HEALTH INSURANCE [6321]
IRS NUMBER: 581167100
STATE OF INCORPORATION: GA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-07434
FILM NUMBER: 1754316
BUSINESS ADDRESS:
STREET 1: 1932 WYNNTON RD
CITY: COLUMBUS
STATE: GA
ZIP: 31999
BUSINESS PHONE: 7063233431
FORMER COMPANY:
FORMER CONFORMED NAME: AMERICAN FAMILY CORP
DATE OF NAME CHANGE: 19920306
COMPANY DATA:
COMPANY CONFORMED NAME: KAN AKITOSHI
CENTRAL INDEX KEY: 0001075294
STANDARD INDUSTRIAL CLASSIFICATION: []
OFFICER
FILING VALUES:
FORM TYPE: 4
BUSINESS ADDRESS:
STREET 1: 1932 WYNNTON ROAD
CITY: COLUMBUS
STATE: GA
ZIP: 31999
BUSINESS PHONE: 7065963499
MAIL ADDRESS:
STREET 1: 1932 WYNNTON ROAD
CITY: COLUMBUS
STATE: GA
ZIP: 31999
4
1
kan.txt
SEPTEMBER 2001 FORM 4
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
[ ] Check this box if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue.
1. Name and Address of Reporting Person(s)
Kan, Akitoshi
River Falls Subdivision
8753 River Road
Columbus, GA 31904
2. Issuer Name and Ticker or Trading Symbol
AFLAC INCORPORATED (AFL)
3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary)
4. Statement for Month/Year
09/01
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
[ ] Director [ ] 10% Owner
[X] Officer (give title below) [ ] Other (specify below)
Executive Vice President
Assistant CFO
7. Individual or Joint/Group Filing (Check Applicable Line)
[X] Form filed by One Reporting Person
[ ] Form filed by More than One Reporting Person
Table I Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
------------------------------------------------------------------------------------------------------------------------------------
1)Title of Security 2)Trans- 3.Trans- 4.Securities Acquired(A) 5)Amount of 6) 7)Nature of
action action or Disposed of (D) Securities Indirect
Date Code A Beneficially D Beneficial
(Month/ or Owned at or Ownership
Day/Year) Code V Amount D Price End of Month I
------------------------------------------------------------------------------------------------------------------------------------
Common Stock 09/20/01 M 2,500 A $13.3125 296,789 D Direct
Common Stock 784 I Custodian/Childre
n
Table II (PART 1) Derivative Securities Acquired, Disposed of, or Beneficially Owned (Columns 1 through 6)
------------------------------------------------------------------------------------------------------------------------------------
1)Title of Derivative 2)Conversion 3)Trans- 4)Trans- 5)Number of Derivative 6)Date Exercisable and
Security or Exercise action action Securities Acquired (A) Expiration Date
Price of Date Code or Disposed of (D)
Derivative
Security Code V A D Exercisable Expiration
------------------------------------------------------------------------------------------------------------------------------------
Employee Stock Option (right to$13.3125 09/20/01 M 2,500 08/12/97 08/12/07
buy)
Table II (PART 2) Derivative Securities Acquired, Disposed of, or Beneficially Owned (Columns 1,3 and 7 through 11)
------------------------------------------------------------------------------------------------------------------------------------
1)Title of Derivative 3)Trans- 7)Title and Amount 8)Price 9)Number of 10) 11)Nature of
Security action of Underlying of Deri- Derivative Indirect
Date Securities vative Securities D Beneficial
Amount or Security Beneficially or Ownership
Number of Owned at I
- Title Shares End of Month
------------------------------------------------------------------------------------------------------------------------------------
Employee Stock Option (right to09/20/01 Common Stock 2,500 6,834 D Direct
buy)
Explanation of Responses:
SIGNATURE OF REPORTING PERSON
/S/ By: Patricia A. Bell
For: Akitoshi Kan
DATE