-----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, FUy2HflxnJz46f29u6eSjeOyzK0diVUT1llcJ1VF/0PaJ4N5DnoPEhdtQh7KPPF6 7+ecr0trRTe6+kgYzQwXyw== 0000019520-04-000070.txt : 20040414 0000019520-04-000070.hdr.sgml : 20040414 20040414121900 ACCESSION NUMBER: 0000019520-04-000070 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20040414 FILED AS OF DATE: 20040414 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STACY BILL W CENTRAL INDEX KEY: 0001236873 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-05905 FILM NUMBER: 04732232 MAIL ADDRESS: STREET 1: 1715 WEST 38TH STREET CITY: CHATTANOOGA STATE: TN ZIP: 37409 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 4 1 sta146.xml X0201 4 2004-04-14 0 0000019520 CHATTEM INC CHTT 0001236873 STACY BILL W 101 FOUNDERS HALL 615 MCCALLIE AVENUE CHATTANOOGA TN 37403 1 0 0 0 Common Shares 10648.000 D 1999 Stock Option Plan (Right to Buy) 27.2500 2004-04-14 4 A 0 2000 0 A 2005-04-14 2014-04-14 Common Shares 2000.00 2000.00 D 1999 Stock Option Plan (Right to Buy) 15.8550 2003-05-07 2012-05-07 Common Shares 10000.00 10000.00 D 1999 Stock Option Plan (Right to Buy) 15.0100 2004-04-16 2013-04-16 Common Shares 2000.00 2000.00 D Options vest in four equal annual installments beginning on the first exercise date. By: Alec Taylor, Attorney-in-fact for 2004-04-14 EX-24 3 stacy.txt POWER OF ATTORNEY This Instrument Prepared by: MILLER & MARTIN, LLP 1000 Volunteer Building 832 Georgia Avenue Chattanooga, TN 37402-2289 LIMITED POWER OF ATTORNEY I, BILL W. STACY, of Chattanooga, Tennessee, hereby appoint A. Alexander Taylor, II of Lookout Mountain, Tennessee or Hugh F. Sharber of Chattanooga, Tennessee, as my Attorney-in-Fact. My Attorney-in-Fact shall have discretionary authority: A. To execute and file any Form 144, Form 4, Form 5, or any successor forms required to be filed with the Securities and Exchange Commission on my behalf. B. To file this Limited Power of Attorney with the Securities and Exchange Commission. A copy, which is certified by a notary public as a true copy of this instrument, shall be considered to have the same effect as the original. No party dealing with my Attorney-in-Fact shall be required to determine the validity of this instrument or any other document executed by my Attorney-in-Fact or to ascertain whether this instrument has been revoked. Any party shall be entitled to assume that this instrument has not been revoked unless such party has actual notice, either oral or written, of my death or has written notice that it has been revoked. This instrument shall be construed liberally in favor of conferring authority upon my Attorney-in-Fact but shall not be deemed to require the exercise of the discretion given by it. This instrument shall be governed by the laws of Tennessee. This instrument shall take effect immediately and shall not be revoked if I should become physically or mentally disabled. I reserve the right to amend or revoke this Limited Power of Attorney at any time I am not disabled and for any reason or no reason. This 18th day of July, 2002 /s/ Bill W. Stacy STATE OF TENNESSEE: COUNTY OF HAMILTON: Personally appeared before me, /s/Jina Johnson, Notary Public, BILL W. STACY, with whom I am personally acquainted, and who acknowledged that he executed the within instrument for the purposes therein contained. I declare under penalty of perjury that the person whose name is subscribed to this instrument appears to be of sound mind and under no duress, fraud or undue influence. WITNESS my hand, at office, this 18th day of July, 2002 /s/ Jina Johnson My Commission Expires 4/7/04 -----END PRIVACY-ENHANCED MESSAGE-----