SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
BOSWORTH ROBERT E

(Last) (First) (Middle)
ONE UNION SQUARE

(Street)
CHATTANOOGA TN 37402

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CHATTEM INC [ CHTT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
07/13/2005
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. 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 (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Shares 07/13/2005 S 3,000 D $45.647 15,556 I By IRA
Common Shares 8,600 D
Common Shares 1,200 I By Trust FBO Child(1)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
1999 Stock Option Plan (Right to Buy) $18.125 04/14/2000(2) 04/14/2009 Common Shares 2,000 2,000 D
1999 Stock Option Plan (Right to Buy) $6.9688 04/19/2001(2) 04/19/2010 Common Shares 2,000 2,000 D
1999 Stock Option Plan (Right to Buy) $4.66 04/18/2002(2) 04/18/2011 Common Shares 2,000 2,000 D
1999 Stock Option Plan (Right to Buy) $13.55 04/17/2003(2) 04/17/2012 Common Shares 4,000 4,000 D
1999 Stock Option Plan (Right to Buy) $15.01 04/16/2004(2) 04/16/2013 Common Shares 2,000 2,000 D
1999 Stock Option Plan (Right to Buy) $27.25 04/14/2005(2) 04/14/2014 Common Shares 2,000 2,000 D
1999 Stock Option Plan (Right to Buy) $43.78 04/13/2006(2) 04/13/2015 Common Shares 2,000 2,000 D
Explanation of Responses:
1. Shares held by children or in trust for children of reporting person. Beneficial Ownership is disclaimed.
2. Options vest in four equal annual installments beginning on the first exercise date.
Remarks:
By: Alec Taylor, Attorney-in-fact for 07/13/2005
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.