0000004977-01-500120.txt : 20011010
0000004977-01-500120.hdr.sgml : 20011010
ACCESSION NUMBER: 0000004977-01-500120
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20010930
FILED AS OF DATE: 20011009
COMPANY DATA:
COMPANY CONFORMED NAME: YAGAI ATSUSHI
CENTRAL INDEX KEY: 0001159486
STANDARD INDUSTRIAL CLASSIFICATION: []
OFFICER
FILING VALUES:
FORM TYPE: 4
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: 1754338
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
4
1
yagai.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)
Yagai, Atsushi
6-1-6-407 Minami Aoyama
Minatoku
Tokyo, Japan 107-0061
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)
Senior Vice President
Marketing Division
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
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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
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Table II (PART 1) Derivative Securities Acquired, Disposed of, or Beneficially Owned (Columns 1 through 6)
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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
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Employee Stock Option (right to$25.1300 09/18/01 M 30,000 09/18/04 09/18/11
buy) (1)
Table II (PART 2) Derivative Securities Acquired, Disposed of, or Beneficially Owned (Columns 1,3 and 7 through 11)
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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
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Employee Stock Option (right to09/18/01 Common Stock 30,000 30,000 D Direct
buy) (1)
Explanation of Responses:
(1)
Granted under the AFLAC Incorporated 1997 Stock Option Plan, which is a rule 16b-3 Plan with tandem tax withholding rights.
SIGNATURE OF REPORTING PERSON
/S/ By: Patricia A. Bell
For: Atsushi Yagai
DATE