0001127602-19-009904.txt : 20190305
0001127602-19-009904.hdr.sgml : 20190305
20190305161046
ACCESSION NUMBER: 0001127602-19-009904
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190301
FILED AS OF DATE: 20190305
DATE AS OF CHANGE: 20190305
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MCCARTHY GLORIA M
CENTRAL INDEX KEY: 0001203671
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16751
FILM NUMBER: 19658423
MAIL ADDRESS:
STREET 1: WELLPOINT, INC
STREET 2: 120 MONUMENT CIRCLE
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
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: 220 VIRGINIA AVENUE
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
BUSINESS PHONE: 3174886000
MAIL ADDRESS:
STREET 1: 220 VIRGINIA AVENUE
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
2019-03-01
0001156039
Anthem, Inc.
ANTM
0001203671
MCCARTHY GLORIA M
220 VIRGINIA AVENUE
INDIANAPOLIS
IN
46204
1
EVP & Chief Administrative Off
Common Stock
2019-03-01
4
F
0
6342
307.68
D
32414.1293
D
Common Stock
2019-03-01
4
A
0
9125
0
A
41539.1293
D
Common Stock
2019-03-01
4
A
0
2641
0
A
44180.1293
D
Common Stock
2019-03-01
4
A
0
1087
0
A
45267.1293
D
Common Stock
2019-03-04
4
M
0
1362
146.93
A
46629.1293
D
Common Stock
2019-03-04
4
S
0
500
300.12
D
46129.1293
D
Common Stock
2019-03-04
4
S
0
500
301.46
D
45629.1293
D
Common Stock
2019-03-04
4
S
0
2500
302.32
D
43129.1293
D
Common Stock
2019-03-04
4
S
0
1500
303.22
D
41629.1293
D
Common Stock
2019-03-04
4
S
0
600
304.09
D
41029.1293
D
Common Stock
2019-03-04
4
S
0
1101
306.32
D
39928.1293
D
Common Stock
2019-03-04
4
S
0
600
307.54
D
39328.1293
D
Common Stock
2019-03-04
4
S
0
400
308.35
D
38928.1293
D
Employee Stock Option (Right to Buy)
307.68
2019-03-01
4
A
0
12187
0
A
2029-03-01
Common Stock
12187
12187
D
Employee Stock Option (Right to Buy)
146.93
2019-03-04
4
M
0
1362
0
D
2025-03-02
Common Stock
1362
0
D
PAYMENT OF TAX LIABILITY BY WITHHOLDING STOCK INCIDENT TO THE VESTING OF PREVIOUSLY GRANTED RESTRICTED STOCK.
Represents performance based restricted share units. Restrictions lapse on 3/1/19.
Represents restricted share units. Restrictions lapse as follows: 880 shares each on 3/1/2020 and 3/1/2021, and 881 on 3/1/2022.
Represents performance based restricted share units. Restrictions lapse on 10/3/19.
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on November 16, 2018.
This transaction was executed in multiple trades at prices ranging from $299.70 to $300.62 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 $300.87 to $301.79. 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 $301.88 to $302.73. 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 $302.92 to $303.60. 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 $303.93 to $304.24. 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 $305.79 to $306.62. 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 $307.17 to $308.13. 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 $308.23 to $308.50. 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 12,187 shares, and is exercisable in three annual installments, with two installments of 4,062 shares each and one installment of 4,063 shares, beginning on 3/1/2020, which is the one-year anniversary of the option grant date.
? The option represents a right to purchase a total of 16,762 shares, and is exercisable in six semi-annual installments, with four installments of 2,794 shares each and two installments of 2,793 shares each, beginning on 9/2/2015, which is the six-month anniversary of option grant date.
/s/ Kathleen S. Kiefer, Attorney in fact
2019-03-05