0001127602-12-007112.txt : 20120221
0001127602-12-007112.hdr.sgml : 20120220
20120221160510
ACCESSION NUMBER: 0001127602-12-007112
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120216
FILED AS OF DATE: 20120221
DATE AS OF CHANGE: 20120221
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WARD JACKIE M
CENTRAL INDEX KEY: 0001086247
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16751
FILM NUMBER: 12626902
MAIL ADDRESS:
STREET 1: WELLPOINT, INC
STREET 2: 120 MONUMENT CIRCLE
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: WELLPOINT, INC
CENTRAL INDEX KEY: 0001156039
STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324]
IRS NUMBER: 352145715
STATE OF INCORPORATION: IN
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 120 MONUMENT CIRCLE
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
BUSINESS PHONE: 3174886000
MAIL ADDRESS:
STREET 1: 120 MONUMENT CIRCLE
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
FORMER COMPANY:
FORMER CONFORMED NAME: WELLPOINT INC
DATE OF NAME CHANGE: 20041130
FORMER COMPANY:
FORMER CONFORMED NAME: ANTHEM INC
DATE OF NAME CHANGE: 20010730
4
1
form4.xml
PRIMARY DOCUMENT
X0304
4
2012-02-16
0001156039
WELLPOINT, INC
WLP
0001086247
WARD JACKIE M
120 MONUMENT CIRCLE
INDIANAPOLIS
IN
46204
1
Common Stock
2012-02-16
4
M
0
20000
34.45
A
23430
D
Common Stock
2012-02-16
4
M
0
10000
35.85
A
33430
D
Common Stock
2012-02-16
4
M
0
10000
44.18
A
43430
D
Common Stock
2012-02-16
4
S
0
22570
66.17
D
20860
D
Common Stock
108
I
Shares Owned By Spouse
Stock Option (Right to Buy)
34.45
2012-02-16
4
M
0
20000
0
D
2012-08-01
Common Stock
20000
0
D
Stock Option (Right to Buy)
35.85
2012-02-16
4
M
0
10000
0
D
2013-05-12
Common Stock
10000
0
D
Stock Option (Right to Buy)
44.18
2012-02-16
4
M
0
10000
0
D
2014-05-17
Common Stock
10000
0
D
This transaction was executed in multiple trades at prices ranging from $66.15 to $66.20. The price reported reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
Exercised options vested as follows: 6,666 on 8/1/03; 6,667 each on 8/1/04 and 11/30/04.
Exercised options vested as follows: 3,333 each on 5/12/04 and 11/30/04; 3,334 on 11/30/04.
Exercised options vested as follows: 3,333 each on 5/17/05 and 5/17/06; 3,334 on 5/17/07.
/s/ Kathleen S. Kiefer, Attorney in fact
2012-02-22