0001127602-15-010111.txt : 20150304
0001127602-15-010111.hdr.sgml : 20150304
20150304172054
ACCESSION NUMBER: 0001127602-15-010111
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150302
FILED AS OF DATE: 20150304
DATE AS OF CHANGE: 20150304
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Anthem, 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: 20100105
FORMER COMPANY:
FORMER CONFORMED NAME: WELLPOINT INC
DATE OF NAME CHANGE: 20041130
FORMER COMPANY:
FORMER CONFORMED NAME: ANTHEM INC
DATE OF NAME CHANGE: 20010730
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gallina John E
CENTRAL INDEX KEY: 0001433032
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16751
FILM NUMBER: 15674454
MAIL ADDRESS:
STREET 1: 120 MONUMENT CIRCLE
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2015-03-02
0001156039
Anthem, Inc.
ANTM
0001433032
Gallina John E
120 MONUMENT CIRCLE
INDIANAPOLIS
IN
46204
1
SVP & Chief Accounting Officer
Common Stock
2015-03-02
4
F
0
2394
146.93
D
19807.75
D
Common Stock
2015-03-02
4
A
0
1319
0
A
21126.75
D
Common Stock
2015-03-03
4
A
0
6985
0
A
28111.75
D
Common Stock
2015-03-03
4
F
0
1592
145.99
D
26519.75
D
Common Stock
2015-03-03
4
M
0
13333
80.81
A
39852.75
D
Common Stock
2015-03-03
4
M
0
2720
65.98
A
42572.75
D
Common Stock
2015-03-03
4
M
0
6374
66.23
A
48946.75
D
Common Stock
2015-03-03
4
M
0
7895
61.88
A
56841.75
D
Common Stock
2015-03-03
4
M
0
3232
89.44
A
60073.75
D
Common Stock
2015-03-03
4
S
0
35054
145.19
D
25019.75
D
Common Stock
2015-03-03
5
G
0
E
408
0
D
24611.75
D
Common Stock
2015-03-03
4
S
0
4100
146.10
D
20511.75
D
Common Stock
2015-03-03
4
S
0
400
146.82
D
20111.75
D
Common Stock
2015-03-03
4
S
0
1.75
145.99
D
20110
D
Employee Stock Option (Right to Buy)
146.93
2015-03-02
4
A
0
5775
0
A
2025-03-02
Common Stock
5775
5775
D
Employee Stock Option (Right to Buy)
80.81
2015-03-03
4
M
0
13333
0
D
2017-03-01
Common Stock
13333
0
D
Employee Stock Option (Right to Buy)
65.98
2015-03-03
4
M
0
2720
0
D
2018-03-01
Common Stock
2720
0
D
Employee Stock Option (Right to Buy)
66.23
2015-03-03
4
M
0
6374
0
D
2019-03-01
Common Stock
6374
0
D
Employee Stock Option (Right to Buy)
61.88
2015-03-03
4
M
0
7895
0
D
2020-03-01
Common Stock
7895
3948
D
Employee Stock Option (Right to Buy)
89.44
2015-03-03
4
M
0
3232
0
D
2021-03-03
Common Stock
3232
6466
D
PAYMENT OF TAX LIABILITY BY WITHHOLDING STOCK INCIDENT TO THE VESTING OF PREVIOUSLY GRANTED RESTRICTED STOCK.
Represents restricted stock units. Restrictions lapse as follows: 439 on 3/2/16; and 440 each on 3/2/17 and 3/2/18.
Represents performance based restricted stock units. Restrictions lapse as follows: 2,328 each on 3/3/15 and 3/3/16; and 2,329 on 3/3/17.
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on November 14, 2014.
This transaction was executed in multiple trades at prices ranging from $144.65 to $145.64. 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.
This transaction was executed in multiple trades at prices ranging from $145.65 to $146.62. 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.
This transaction was executed in multiple trades at prices ranging from $146.78 to $146.85. 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.
The option, representing a right to purchase a total of 5,775 shares, is exercisable in three equal semi-annual installments of 962 shares each and three equal semi-annual installments of 963 shares each beginning on September 2, 2015, which is the six-month anniversary of the date on which the option was granted.
The option, representing a right to purchase a total of 13,333 shares, became exercisable in five equal semi-annual installments of 2,222 shares each and one equal semi-annual installment of 2,223 shares beginning on September 1, 2007, which was the six-month anniversary of the date on which the option was granted
The option, representing a right to purchase a total of 8,158 shares, became exercisable in two equal semi-annual installments of 1,359 shares each and four equal semi-annual installments of 1,360 shares each beginning on September 1, 2011, which is the six-month anniversary of the date on which the option was granted.
)The option, representing a right to purchase a total of 9,560 shares, became exercisable in four equal semi-annual installments of 1,593 shares each and two equal semi-annual installments of 1,594 shares each beginning on September 1, 2012, which was the six-month anniversary of the date on which the option was granted.
The option, representing a right to purchase a total of 11,843 shares, became exercisable in one installment of 1,973 shares and five equal semi-annual installments of 1,974 shares each beginning on September 1, 2013, which was the six-month anniversary of the date on which the option was granted.
The option, representing a right to purchase a total of 9,698 shares, became exercisable in four equal semi-annual installments of 1,616 shares each and two equal semi-annual installments of 1,617 shares each beginning on September 3, 2014, which was the six-month anniversary of the date on which the option was granted.
/s/ Kathleen S. Kiefer, Attorney in fact
2015-03-04