-----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, L79U3UYYZ31GKYuX4YDiW5C/L9ThzR+KIMGR7Bu25fyeANooFPRGx2fbERcQ3cgp oJRXjv15VL9g4tLKUsUY7w== 0000005513-04-000162.txt : 20041123 0000005513-04-000162.hdr.sgml : 20041123 20041123142742 ACCESSION NUMBER: 0000005513-04-000162 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041119 FILED AS OF DATE: 20041123 DATE AS OF CHANGE: 20041123 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: 041163392 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 mad377.xml X0202 4 2004-11-19 0 0000005513 UNUMPROVIDENT CORP UNM 0001239416 MADEJA PETER C 1 FOUNTAIN SQUARE CHATTANOOGA TN 374021307 0 1 0 0 Executive Vice President Common Stock 42333.00 D Common Stock 4482.00 I By 401(k) Plan MICP Premium Shares Dividends 0.00 2004-11-19 4 A 0 3 0 A Common Stock 3.00 3.00 D MICP Purchased Shares Dividends 0.00 2004-11-19 4 A 0 11 0 A Common Stock 11.00 11.00 D This amount includes: Employee Stock Purchase Plan - 5,290 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 2004-11-23 -----END PRIVACY-ENHANCED MESSAGE-----