-----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, PewzqPqS2vVQpxBMnL4YaKZScdzIQoP8Ra4KpSRVKrnpDj8n4uklvJ6p5aYvV7LW 8gGJnz5PGM4jmV0Y4ZqZYg== 0000019520-05-000006.txt : 20050126 0000019520-05-000006.hdr.sgml : 20050126 20050126170132 ACCESSION NUMBER: 0000019520-05-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050125 FILED AS OF DATE: 20050126 DATE AS OF CHANGE: 20050126 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: 05550714 BUSINESS ADDRESS: BUSINESS PHONE: 4238212037 MAIL ADDRESS: STREET 1: C/O CHATTEM INC STREET 2: 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 bos199.xml X0202 4 2005-01-25 0 0000019520 CHATTEM INC CHTT 0001156142 BOSWORTH ROBERT E ONE UNION SQUARE CHATTANOOGA TN 37402 1 0 0 0 Common Shares 2005-01-25 4 A 0 28 0 A 8413.000 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 At the election of the reporting person, these shares were issued to the reporting person under the 1999 Stock Option Plan for Non-Employee directors in lieu of cash director fees. 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 2005-01-26 -----END PRIVACY-ENHANCED MESSAGE-----