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