-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, O+lvcejsrnAz9UddIVdXFm/d3kmaozIw7hbgqKalagCsI54k75Zkv5qabAh5RKxF WXyiZzjOZbFvxoaZ3jVxGw== 0001156039-04-000017.txt : 20040106 0001156039-04-000017.hdr.sgml : 20040106 20040106120231 ACCESSION NUMBER: 0001156039-04-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040102 FILED AS OF DATE: 20040106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RIEGLE DONALD W JR CENTRAL INDEX KEY: 0001195829 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16751 FILM NUMBER: 04508623 MAIL ADDRESS: STREET 1: ANTHEM 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: 120 MONUMENT CIRCLE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 BUSINESS PHONE: 3174886000 4 1 edgar.xml PRIMARY DOCUMENT X0201 42004-01-02 0001156039 ANTHEM INC ATH 0001195829 RIEGLE DONALD W JR 120 MONUMENT CIRCLE INDIANAPOLIS IN 46204 1000Phantom Stock Units02004-01-024A06576.28ACommon Stock6565DThe phantom stock units were accrued under the Anthem, Inc. ("Company") Board of Directors' Deferred Compensation Plan ("The Plan").The Conversion or Exercise Price of the Derivative Security is 1-for-1.The phantom stock units shall be payable in Company common stock at the time designated in the reporting person's election made under the Plan in accordance with the terms of the Plan.Nancy Purcell, Atto rney-in-fact2004-01-06 -----END PRIVACY-ENHANCED MESSAGE-----