-----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, GTMpZ8221Logy9hQ+GawFxUUEIH3ssOAbqgWNktRjYcZkzd/Af43Ap3ATaPJT6Yy obudXkX9QSMaXLP7NeXX3w== 0001156039-04-000104.txt : 20040406 0001156039-04-000104.hdr.sgml : 20040406 20040406213017 ACCESSION NUMBER: 0001156039-04-000104 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040402 FILED AS OF DATE: 20040406 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DORR MARJORIE W CENTRAL INDEX KEY: 0001194208 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16751 FILM NUMBER: 04721317 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 4 2004-04-02 0001156039 ANTHEM INC ATH 0001194208 DORR MARJORIE W 120 MONUMENT CIRCLE INDIANAPOLIS IN 46204 0 1 0 0 President, Anthem East Common Stock 2004-04-02 4 A 0 60883 91.49 A 74028.8308 D Represents shares of restricted stock granted under the Anthem 2001 Long-Term Incentive Plan. The restrictions lapse on 50% of such shares on 04/02/05 and on the remaining 50% of such shares of restricted stock on 04/02/06. Includes 1145.8308 shares acquired under the Anthem, Inc. Employee Stock Purchase Plan. Nancy Purcell, Attorney-in-fact 2004-04-06 -----END PRIVACY-ENHANCED MESSAGE-----