-----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, V47VCisvCyYm+gJVFmNyCYLC3HAt+uQX5Ax3TGDJTw9m19hWG5+avkQXaieKgzwz oI7TkxrBiK3JuzfTYl0eXA== 0000004977-02-000093.txt : 20020514 0000004977-02-000093.hdr.sgml : 20020514 ACCESSION NUMBER: 0000004977-02-000093 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: 02646989 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: SPENCER KATHELEN V CENTRAL INDEX KEY: 0001172940 OFFICER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 314 BARSCHALL DR CITY: COLUMBUS STATE: GA ZIP: 31904-2202 MAIL ADDRESS: STREET 1: 314 BARSCHALL DR CITY: COLUMBUS STATE: GA ZIP: 31904-2202 3 1 spencer.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 Spencer, Kathelen 314 Barschall Drive Columbus, GA 31904 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) [ ] Director [ ] 10% Owner [X] Officer (give title below) [ ] Other (specify below) Exec. Vice President 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 86,603 D Direct Common Stock 5,627 I 401(K) Plan Common Stock 1,800 I Custodian/Childr en Common Stock 40,681 I Partnership Common Stock 110,916 I Spouse Common Stock 52,212 I Spouse Cust/Children 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 06/28/93 06/28/03 Common Stock 112,284 $4.7084 D Direct buy) Employee Stock Option (right to 02/13/96 02/13/06 Common Stock 90,004 $7.9167 D Direct buy) Employee Stock Option (right to 06/24/98 06/24/08 Common Stock 30,000 $15.0469 D Direct buy) Employee Stock Option (right to 02/08/03 02/08/10 Common Stock 30,000 $21.1563 D Direct buy) Employee Stock Option (right to 12/10/04 12/10/11 Common Stock 50,000 $25.4950 D Direct buy) Explanation of Responses:
SIGNATURE OF REPORTING PERSON /S/ By: Patricia A. Bell For: Kathelen Spencer DATE -----END PRIVACY-ENHANCED MESSAGE-----