-----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, OZ6xii0YkWmht0DXQdMVyYI7IYyuoO/NMn16MmSEw3WqDX6c9NH6pFQn+h7EygDB +n+TYTzzKnpBagHmcrkQKA== 0000005513-04-000064.txt : 20040525 0000005513-04-000064.hdr.sgml : 20040525 20040525155643 ACCESSION NUMBER: 0000005513-04-000064 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040521 FILED AS OF DATE: 20040525 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MADEJA PETER C CENTRAL INDEX KEY: 0001239416 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11294 FILM NUMBER: 04829978 BUSINESS ADDRESS: STREET 1: UNUMPROVIDENT CORP STREET 2: 1 FOUNTAIN SQUARE CITY: CHATTANOOGA STATE: TN ZIP: 37402 MAIL ADDRESS: STREET 1: UNUMPROVIDENT CORP STREET 2: 1 FOUNTAIN SQUARE CITY: CHATTANOOGA STATE: TN ZIP: 37402 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UNUMPROVIDENT CORP CENTRAL INDEX KEY: 0000005513 STANDARD INDUSTRIAL CLASSIFICATION: ACCIDENT & HEALTH INSURANCE [6321] IRS NUMBER: 621598430 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1 FOUNTAIN SQUARE CITY: CHATTANOOGA STATE: TN ZIP: 37402 BUSINESS PHONE: 2077702211 MAIL ADDRESS: STREET 1: 1 FOUNTAIN SQUARE CITY: CHATTANOOGA STATE: TN ZIP: 37402 FORMER COMPANY: FORMER CONFORMED NAME: PROVIDENT COMPANIES INC /DE/ DATE OF NAME CHANGE: 19961204 FORMER COMPANY: FORMER CONFORMED NAME: PROVIDENT LIFE & ACCIDENT INSURANCE CO OF AMERICA DATE OF NAME CHANGE: 19950407 4 1 mad284.xml X0202 4 2004-05-21 0 0000005513 UNUMPROVIDENT CORP UNM 0001239416 MADEJA PETER C 1 FOUNTAIN SQUARE CHATTANOOGA TN 374021307 0 1 0 0 Executive Vice President Common Stock 41819.00 D Common Stock 4440.00 I By 401(k) Plan MICP Premium Shares Dividends 0.00 2004-05-21 4 A 0 4 13.90 A Common Stock 4.00 4.00 D MICP Purchased Shares Dividends 0.00 2004-05-21 4 A 0 12 13.90 A Common Stock 12.00 12.00 D This amount includes: Employee Stock Purchase Plan - 4,776 shares; restricted stock - 19,012 shares; and shares held outside of any plan - 18,031 shares. Conversion is one for one. Exercisable with the original grant to which the dividend relates. Not applicable. By: Jo C. Dearing on behalf of 2004-05-21 -----END PRIVACY-ENHANCED MESSAGE-----