-----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, QVa5AtnqneK54cCNVteYlAyQcnakE8sxFBDErUzlS1Szsb9zz9Sb+HDbogkpMlJl VKSHeSPv+MZoAFrL5mJaVA== 0001156039-04-000022.txt : 20040106 0001156039-04-000022.hdr.sgml : 20040106 20040106120506 ACCESSION NUMBER: 0001156039-04-000022 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: WARD JACKIE M CENTRAL INDEX KEY: 0001086247 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16751 FILM NUMBER: 04508647 BUSINESS ADDRESS: STREET 1: BUILDING G FOURTH FLOOR STREET 2: 5775 PEACHTREE-DUNWOODY ROAD CITY: ATLANTA STATE: GA ZIP: 30342 MAIL ADDRESS: STREET 1: BUILDING G FOURTH FLOOR STREET 2: 5775 PEACHTREE-DUNWOODY ROAD CITY: ATLANTA STATE: GA ZIP: 30342 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 0001086247 WARD JACKIE M 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-----