-----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, MSYhMI0mJNNe5YwORytKz3tDX5CWDWsC4mmfdKW43bEi81zFVv2HK1374+1cDCNf 0cOSW1er11x+iZmUy79vvg== 0001156039-04-000112.txt : 20040406 0001156039-04-000112.hdr.sgml : 20040406 20040406213351 ACCESSION NUMBER: 0001156039-04-000112 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040402 FILED AS OF DATE: 20040406 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: SMITH MICHAEL L CENTRAL INDEX KEY: 0001194201 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16751 FILM NUMBER: 04721326 BUSINESS ADDRESS: STREET 1: ANTHEM INC STREET 2: 120 MONUMENT CIRCLE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 BUSINESS PHONE: 3174886000 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 2004-04-02 0001156039 ANTHEM INC ATH 0001194201 SMITH MICHAEL L 120 MONUMENT CIRCLE INDIANAPOLIS IN 46204 0 1 0 0 Executive Vice President Common Stock 2004-04-02 4 A 0 88104 91.49 A 102604 D Common Stock 1244.6274 I Shares held by 401(k) Plan 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 473.7374 shares acquired under the Anthem, Inc. 401(k) Plan not previously reported. Nancy Purcell, Attorney-in-fact 2004-04-06 -----END PRIVACY-ENHANCED MESSAGE-----