0001156039-22-000025.txt : 20220303 0001156039-22-000025.hdr.sgml : 20220303 20220303180634 ACCESSION NUMBER: 0001156039-22-000025 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220301 FILED AS OF DATE: 20220303 DATE AS OF CHANGE: 20220303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Penczek Ronald W CENTRAL INDEX KEY: 0001659075 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16751 FILM NUMBER: 22710830 MAIL ADDRESS: STREET 1: 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: 220 VIRGINIA AVENUE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 BUSINESS PHONE: 3174886000 MAIL ADDRESS: STREET 1: 220 VIRGINIA AVENUE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 FORMER COMPANY: FORMER CONFORMED NAME: WELLPOINT, INC DATE OF NAME CHANGE: 20100105 FORMER COMPANY: FORMER CONFORMED NAME: WELLPOINT INC DATE OF NAME CHANGE: 20041130 FORMER COMPANY: FORMER CONFORMED NAME: ANTHEM INC DATE OF NAME CHANGE: 20010730 4 1 wf-form4_164634874872945.xml FORM 4 X0306 4 2022-03-01 0 0001156039 Anthem, Inc. ANTM 0001659075 Penczek Ronald W 220 VIRGINIA AVENUE INDIANAPOLIS IN 46204 0 1 0 0 CAO & Controller Common Stock 2022-03-01 4 F 0 369 451.50 D 1643 D Common Stock 2022-03-01 4 A 0 222 0 A 1865 D Common Stock 2022-03-01 4 A 0 953 0 A 2818 D Common Stock 2022-03-02 4 F 0 52 463.49 D 2766 D Common Stock 2022-03-03 4 M 0 438 311.48 A 3204 D Common Stock 2022-03-03 4 M 0 653 271.27 A 3857 D Common Stock 2022-03-03 4 M 0 468 307.68 A 4325 D Common Stock 2022-03-03 4 S 0 2423 463.68 D 1902 D Employee Stock Option (Right to Buy) 451.5 2022-03-01 4 A 0 882 0 A 2032-03-01 Common Stock 882.0 882 D Employee Stock Option (Right to Buy) 311.48 2022-03-03 4 M 0 438 0 D 2031-03-01 Common Stock 438.0 877 D Employee Stock Option (Right to Buy) 271.27 2022-03-03 4 M 0 653 0 D 2030-03-02 Common Stock 653.0 654 D Employee Stock Option (Right to Buy) 307.68 2022-03-03 4 M 0 468 0 D 2029-03-01 Common Stock 468.0 0 D PAYMENT OF TAX LIABILITY BY WITHHOLDING STOCK INCIDENT TO THE VESTING OF PREVIOUSLY GRANTED RESTRICTED STOCK. Represents restricted share units. Restrictions lapse as follows: 74 shares each on 3/1/2023, 3/1/2024 and 3/1/2025. Represents performance based restricted share units. Restrictions lapse on 3/1/2022. This transaction was executed in multiple trades at prices ranging from $463.57 to $463.73. The price reported reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. The option represents a right to purchase a total of 882 shares, and is exercisable in three annual installments of 294 shares each, beginning on 3/1/2023, which is the one-year anniversary of the option grant date. The option represents a right to purchase a total of 1,315 shares, and is exercisable in three annual installments, with two installments of 438 shares each and one installment of 439 shares, beginning on 3/1/2022, which is the one-year anniversary of the option grant date. The option represents a right to purchase a total of 1,960 shares, and is exercisable in three annual installments, with two installments of 653 shares each and one installment of 654 shares, beginning on 3/2/2021, which is the one-year anniversary of the option grant date. The option represents a right to purchase a total of 1,403 shares, and is exercisable in three annual installments, with one installment of 467 shares and two installments of 468 shares each, beginning on 3/1/2020, which is the one-year anniversary of the option grant date. /s/ Kathleen S. Kiefer, Attorney in fact 2022-03-03