-----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, RRLujHGZxmmrNy7irc9k02yZGJ7J0yLBuNmNfi4xwHPHMb+dQrg0xeRGPNbBuIu2 eS4GqHm8Yj7ptY5uqYxxpw== 0001156039-04-000219.txt : 20040728 0001156039-04-000219.hdr.sgml : 20040728 20040728124930 ACCESSION NUMBER: 0001156039-04-000219 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040726 FILED AS OF DATE: 20040728 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SULLIVAN DENNIS J JR CENTRAL INDEX KEY: 0001192088 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16751 FILM NUMBER: 04935242 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 X0202 4 2004-07-26 1 0001156039 ANTHEM INC ATH 0001192088 SULLIVAN DENNIS J JR 120 MONUMENT CIRCLE INDIANAPOLIS IN 46204 1 0 0 0 Common Stock 2004-07-26 4 M 0 5600 71.86 A 6999 D Common Stock 2004-07-26 4 S 0 4162 86.35 D 2837 D Non-Qualified Stock Option (Right to Buy) 71.86 2004-07-26 4 M 0 5600 0 D 2003-05-03 2007-05-17 Common Stock 5600 9400 D As was disclosed in the Company Proxy Statement dated April 16, 2004, Mr. Sullivan did not stand for re-election as a director of the Company at its annual meeting of shareholders on May 17, 2004. Therefore Mr. Sullivan ceased to be a Director and Reporting Person of the Company on May 17, 2004. Nancy Purcell, Attorney-in-fact 2004-07-28 -----END PRIVACY-ENHANCED MESSAGE-----