0001127602-17-025502.txt : 20170811
0001127602-17-025502.hdr.sgml : 20170811
20170811163729
ACCESSION NUMBER: 0001127602-17-025502
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170810
FILED AS OF DATE: 20170811
DATE AS OF CHANGE: 20170811
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ZIELINSKI THOMAS C
CENTRAL INDEX KEY: 0001234091
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16751
FILM NUMBER: 171025634
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
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2017-08-10
0001156039
Anthem, Inc.
ANTM
0001234091
ZIELINSKI THOMAS C
120 MONUMENT CIRCLE
INDIANAPOLIS
IN
46204
1
EVP & General Counsel
Common Stock
2017-08-10
4
M
0
9127
108.35
A
26571
D
Common Stock
2017-08-10
4
S
0
3100
189.85
D
23471
D
Common Stock
2017-08-10
4
S
0
5027
191.82
D
18444
D
Common Stock
2017-08-10
4
S
0
1000
192.76
D
17444
D
Employee Stock Option (Right to Buy)
108.35
2017-08-10
4
M
0
9127
0
D
2021-06-02
Common Stock
9127
7064
D
This transaction was executed in multiple trades at prices ranging from $191.50 to $192.48. 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 $192.53 to $192.95. 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 represents a right to purchase a total of 21,191 shares, and is exercisable in six semi-annual installments with one installment of 3,531 shares and five installments of 3,532 shares each beginning on 12/2/14, which is the six-month anniversary of the date on which the option was granted.
/s/ Kathleen S. Kiefer, Attorney in fact
2017-08-11