-----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, D3Ghel6uDTV2e54rnsoeXIUkPwVEIC5446dgxqGJlL7+wQuYfbKaL2c/QZ+VPPJg /VDpbspc4CeDz++a/WDuFQ== 0000019520-04-000106.txt : 20040622 0000019520-04-000106.hdr.sgml : 20040622 20040622133104 ACCESSION NUMBER: 0000019520-04-000106 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040621 FILED AS OF DATE: 20040622 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOSS RICHARD D CENTRAL INDEX KEY: 0001236872 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-05905 FILM NUMBER: 04874267 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 mos167.xml X0202 4 2004-06-21 0 0000019520 CHATTEM INC CHTT 0001236872 MOSS RICHARD D 1715 WEST 38TH STREET CHATTANOOGA TN 37409 0 1 0 0 VP, Chief Financial Officer Common Shares 2004-06-21 4 M 0 7500 19.5300 A 7500.000 D Common Shares 2004-06-21 4 S 0 7500 28.5365 D 0.000 D Common Shares 2004-06-21 4 M 0 5000 14.5000 A 5000.000 D Common Shares 2004-06-21 4 S 0 5000 28.5365 D 0.000 D 2003 Stock Option Plan (right to buy) 14.5000 2004-06-21 4 M 0 5000 0 D 2004-05-29 2013-05-29 Common Shares 5000.00 15000.00 D Non-Statutory Stock Option Plan (Right to Buy) 19.5300 2004-06-21 4 M 0 7500 0 D 2003-08-19 2012-08-19 Common Shares 7500.00 22500.00 D 2003 Stock Option (Right to Buy) 28.3900 2005-04-27 2014-04-27 Common Shares 25000.00 25000.00 D Options vest in four equal annual installments beginning on the first exercise date. /s/ Moss, Richard D 2004-06-21 -----END PRIVACY-ENHANCED MESSAGE-----