-----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, UJU2hhIE3ixHn885m5xjs8v9tFNpZSLBWW6Bf4BOamfwWTxaYMDeFgFPdttft72d yhGa86iDKmIN3nsTl9jhSg== 0001156039-04-000080.txt : 20040402 0001156039-04-000080.hdr.sgml : 20040402 20040402150317 ACCESSION NUMBER: 0001156039-04-000080 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040401 FILED AS OF DATE: 20040402 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LISS VICTOR S CENTRAL INDEX KEY: 0001192075 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16751 FILM NUMBER: 04713458 MAIL ADDRESS: STREET 1: ANTHEM INC. STREET 2: 120 MONUMENT CIRCLE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 4 1 edgar.xml PRIMARY DOCUMENT X0201 4 2004-04-01 0001156039 ANTHEM INC ATH 0001192075 LISS VICTOR S 120 MONUMENT CIRCLE INDIANAPOLIS IN 46204 1 0 0 0 Phantom Stock Units 0 2004-04-01 4 A 0 54 91.20 A Common Stock 54 119 D The 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, Attorney-in-fact 2004-04-02 -----END PRIVACY-ENHANCED MESSAGE-----