-----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, AvADTMna2R9orfQUZl5f+Aa/mlCHylWfutOM10kdZbYuj2YUj0Rha1sbdPuWQZRx aQT5uWsyABuD3omBjxS78g== 0000019520-04-000124.txt : 20040728 0000019520-04-000124.hdr.sgml : 20040728 20040728122805 ACCESSION NUMBER: 0000019520-04-000124 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040727 FILED AS OF DATE: 20040728 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: BOSWORTH ROBERT E CENTRAL INDEX KEY: 0001156142 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-05905 FILM NUMBER: 04935128 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 bos178.xml X0202 4 2004-07-27 0 0000019520 CHATTEM INC CHTT 0001156142 BOSWORTH ROBERT E ONE UNION SQUARE CHATTANOOGA TN 37402 1 0 0 0 Common Shares 2004-07-27 4 A 0 35 28.5300 A 8227.000 D Common Shares 938228.000 I By Corporation Common Shares 23556.000 I By IRA Common Shares 1200.000 I By Trust FBO Child 1999 Stock Option Plan (Right to Buy) 18.1250 2000-04-14 2009-04-14 Common Shares 2000.00 2000.00 D 1999 Stock Option Plan (Right to Buy) 6.9688 2001-04-19 2010-04-19 Common Shares 2000.00 2000.00 D 1999 Stock Option Plan (Right to Buy) 4.6600 2002-04-18 2011-04-18 Common Shares 2000.00 2000.00 D 1999 Stock Option Plan (Right to Buy) 13.5500 2003-04-17 2012-04-17 Common Shares 4000.00 4000.00 D 1999 Stock Option Plan (Right to Buy) 15.0100 2004-04-16 2013-04-16 Common Shares 2000.00 2000.00 D 1999 Stock Option Plan (Right to Buy) 27.2500 2005-04-14 2014-04-14 Common Shares 2000.00 2000.00 D Call option (obligation to sell) 34.0000 2005-03-25 2005-03-25 Common Shares 100000.00 1.00 I By Corporation Put option (right to sell) 17.8800 2005-03-25 2005-03-25 Common Shares 100000.00 1.00 I By Corporation Shares held by Hamico, Inc. (charitable organization) on whose board of trustees reporting person sits. Beneficial ownership is disclaimed. Reflects shares previously owned indirectly through Chattem, Inc. 401 (k) plan 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. Hamico, Inc. entered into a zero-cost collar arrangement pursuant to which it 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 for 2004-07-27 -----END PRIVACY-ENHANCED MESSAGE-----