-----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, ET0JODFmDcTwWXEoZ1OGOLoc5ZIrQIK0aRCO5q6yDDZ7TNOs0rUglJBYGj72jFnh QvysnMoDvrTW9zn9qWEZag== 0000019520-04-000005.txt : 20040102 0000019520-04-000005.hdr.sgml : 20040101 20040102122545 ACCESSION NUMBER: 0000019520-04-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031230 FILED AS OF DATE: 20040102 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHATTEM INC CENTRAL INDEX KEY: 0000019520 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 620156300 STATE OF INCORPORATION: TN FISCAL YEAR END: 1130 BUSINESS ADDRESS: STREET 1: 1715 W 38TH ST CITY: CHATTANOOGA STATE: TN ZIP: 37409 BUSINESS PHONE: 4238214571 MAIL ADDRESS: STREET 1: 1715 W 38TH ST CITY: CHATTANOOGA STATE: TN ZIP: 37409 FORMER COMPANY: FORMER CONFORMED NAME: CHATTEM DRUG & CHEMICAL CO DATE OF NAME CHANGE: 19790111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GUERRY ALEXANDER ZAN III CENTRAL INDEX KEY: 0001156154 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-05905 FILM NUMBER: 04500644 BUSINESS ADDRESS: STREET 1: C/O CHATTEM INC STREET 2: 1715 WEST 38TH STREET CITY: CHATTANOOGA STATE: TN ZIP: 37409 BUSINESS PHONE: 4238212037 MAIL ADDRESS: STREET 1: C/O CHATTEM INC STREET 2: 1715 WEST 38TH STREET CITY: CHATTANOOGA STATE: TN ZIP: 37409 4 1 gue113.xml X0201 4 2003-12-30 0 0000019520 CHATTEM INC CHTT 0001156154 GUERRY ALEXANDER ZAN III C/O CHATTEM INC 1715 WEST 38TH STREET CHATTANOOGA TN 37409 1 1 0 0 Chairman and CEO Common Shares 2003-12-30 4 S 0 33056 18.7614 D 1105172.000 I By Corporation Common Shares 2003-12-30 4 S 0 10000 19.0960 D 1095172.000 I By Corporation Common Shares 2003-12-30 4 S 0 5000 19.1120 D 1090172.000 I By Corporation Common Shares 2003-12-30 4 S 0 5300 19.3500 D 1084872.000 I By Corporation Common Shares 2003-12-30 4 S 0 10000 19.3615 D 1074872.000 I By Corporation Common Shares 2003-12-31 4 S 0 23915 18.0951 D 1050957.000 I By Corporation Common Shares 2003-12-31 4 S 0 112729 18.3284 D 938228.000 I By Corporation Common Shares 329816.000 D Common Shares 12000.000 I By 401(k) Common Shares 120.000 I By children or in trust for children 2000 Stock Option Plan (Right to Buy) 4.9350 2002-04-26 2011-04-26 Common Shares 200000.00 200000.00 D 2003 Stock Option Plan (right to buy) 14.5000 2004-05-29 2013-05-29 Common Shares 125000.00 125000.00 D Call Option (obligation to sell) 17.8708 2004-05-23 2004-05-23 Common Shares 65534.00 1.00 D Put option (right to sell) 10.2537 2004-05-23 2004-05-23 Common Shares 65534.00 1.00 D Shares held by Hamico, Inc. (charitable organization) on whose board of trustees reporting person sits. Beneficial ownership is disclaimed. Shares held by reporting persons through Employer 401(k) Plan. The Plan allows account shares to be purchased on self-directed basis. Shares held by children or in trust for children of reporting person. Beneficial Ownership is disclaimed. Options vest in four equal annual installments beginning on the first exercise date. The reporting person entered into a zero-cost collar arrangement pursuant to which he wrote a covered call option and purchased a put option. Only one of the options can be in the money on the expiration date, at which time the in-the-money option will be exercised, and the other option will expire. If neither option is in the money on the expiration date, both options will expire. By: Alec Taylor, Attorney-in-fact 2004-01-02 -----END PRIVACY-ENHANCED MESSAGE-----