3 1 mori.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 Mori, Nobuhiro 2-14-6, Oyamadai, Setagaya, Ku Tokyo, Japan 100-0086 2. Date of Event Requiring Statement (Month/Day/Year) 11/12/02 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 ----------------------------------------------------------------------------------------------------- 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) 11/12/12 Common Stock 10,000 $31.5300 D Direct buy) Explanation of Responses: (1) The option will vest 2000 shares on 11/12/02, 2000 shares on 11/12/03, 2000 shares on 11/12/04, 2000 shares on 11/12/05, and 2000 sh ares on 11/12/06.
SIGNATURE OF REPORTING PERSON /S/ By: Patricia A. Bell For: Nobuhiro Mori DATE 11/19/02