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