-----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, QxZx/YkIVRNrkCJLcbYT0msS392GFfxMK3mxwM5YpuvPpGjs5Adwjr/hBGyzcW6o lAOhr7YBgoqxkRSDjDPmKg== 0000005513-04-000141.txt : 20040824 0000005513-04-000141.hdr.sgml : 20040824 20040824154427 ACCESSION NUMBER: 0000005513-04-000141 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040820 FILED AS OF DATE: 20040824 DATE AS OF CHANGE: 20040824 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: 04994166 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 mad336.xml X0202 4 2004-08-20 0 0000005513 UNUMPROVIDENT CORP UNM 0001239416 MADEJA PETER C 1 FOUNTAIN SQUARE CHATTANOOGA TN 374021307 0 1 0 0 Executive Vice President Common Stock 42084.00 D Common Stock 4447.00 I By 401(k) Plan MICP Premium Shares Dividends 0.00 2004-08-20 4 A 0 3 16.03 A Common Stock 3.00 3.00 D MICP Purchased Shares Dividends 0.00 2004-08-20 4 A 0 11 16.03 A Common Stock 11.00 11.00 D This amount includes: Employee Stock Purchase Plan - 5,041shares; 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 2004-08-23 -----END PRIVACY-ENHANCED MESSAGE-----