-----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, VdwubmAvpYj0+yTl5NiWO24b/7c/QUje1pypsi2fnYa8b4RIMPzYl2smny+9V5KF NCTjVd2US/WWzkKFlBf4wQ== 0000004977-02-000091.txt : 20020514 0000004977-02-000091.hdr.sgml : 20020514 ACCESSION NUMBER: 0000004977-02-000091 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020506 FILED AS OF DATE: 20020514 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: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07434 FILM NUMBER: 02646958 BUSINESS ADDRESS: STREET 1: 1932 WYNNTON RD CITY: COLUMBUS STATE: GA ZIP: 31999 BUSINESS PHONE: 7063233431 MAIL ADDRESS: STREET 1: 1932 WYNNTON ROAD CITY: COLUMBUS STATE: GA ZIP: 31999 FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN FAMILY CORP DATE OF NAME CHANGE: 19920306 COMPANY DATA: COMPANY CONFORMED NAME: JOHNSON ROBERT B CENTRAL INDEX KEY: 0001172944 DIRECTOR FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 501 ONEIDA PLACE NW CITY: WASHINGTON STATE: DC ZIP: 20011 MAIL ADDRESS: STREET 1: 501 ONEIDA PLACE NW CITY: WASHINGTON STATE: DC ZIP: 20011 3 1 johnson.txt FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 1. Name and Address of Reporting Person Johnson, Robert B. 501 Oneida Place, NW Washington, DC 20011 2. Date of Event Requiring Statement (Month/Day/Year) 5/6/02 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) 4. Issuer Name and Ticker or Trading Symbol AFLAC INCORPORATED (AFL) 5. Relationship of Reporting Person to Issuer (Check all applicable) [X] Director [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) 6. If Amendment, Date of Original (Month/Day/Year) 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 Beneficially Owned - ----------------------------------------------------------------------------------------------------- 1)Title of Security 2)Amount of 3) 4)Nature of Securities D Indirect Beneficially or Beneficial Owned I Ownership - ----------------------------------------------------------------------------------------------------- Common Stock 655 D Direct Table II Derivative Securitites Beneficially Owned - ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Derivative Security 2)Date Exercisable 3)Title and Amount of 4)Conver- 5)Ownership 6)Nature of and Expiration Date Securities Underlying sion or Form of Indirect (Month/Day/Year) Derivative Security exercise Derivative Beneficial price of Security Ownership Date Expira- Amount or Deri- Direct(D) Exer- tion Number of vative or cisable Date Title Shares Security Indirect(I) - ------------------------------------------------------------------------------------------------------------------------------------ Employee Stock Option (right to (1) 05/06/12 Common Stock 10,000 $29.9750 D Direct buy) Explanation of Responses: (1) The option will vest 2000 shares on 05/06/02, 2000 shares on 05/06/03, 2000 shares on 05/06/04, 2000 shares on 05/06/05, and 2000 shares on 05/06/06.
SIGNATURE OF REPORTING PERSON /S/ By: Patricia A. Bell For: Robert B. Johnson DATE
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