Filing Details

Accession Number:
0001127602-19-034460
Form Type:
4
Zero Holdings:
No
Publication Time:
2019-12-06 16:15:10
Reporting Period:
2019-12-04
Accepted Time:
2019-12-06 16:15:10
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1156039 Anthem Inc. ANTM Hospital & Medical Service Plans (6324) 352145715
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1234091 C Thomas Zielinski 220 Virginia Avenue
Indianapolis IN 46204
Evp & General Counsel No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2019-12-04 3,064 $108.35 35,247 No 4 M Direct
Common Stock Acquisiton 2019-12-04 1,892 $232.04 37,139 No 4 M Direct
Common Stock Acquisiton 2019-12-04 2,553 $166.97 39,692 No 4 M Direct
Common Stock Disposition 2019-12-04 10,600 $288.33 29,092 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 M Direct
No 4 M Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Employee Stock Option (Right to Buy) Disposition 2019-12-04 3,064 $0.00 3,064 $108.35
Common Stock Employee Stock Option (Right to Buy) Disposition 2019-12-04 1,892 $0.00 1,892 $232.04
Common Stock Employee Stock Option (Right to Buy) Disposition 2019-12-04 2,553 $0.00 2,553 $166.97
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2021-06-02 No 4 M Direct
5,678 2028-03-01 No 4 M Direct
2,553 2027-03-01 No 4 M Direct
Footnotes
  1. This transaction was executed in multiple trades at prices ranging from $288.00 to $288.85. The price reported reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
  2. The option represents a right to purchase a total of 21,191 shares, and is exercisable in six semi-annual installments with one installment of 3,531 shares and five installments of 3,532 shares each beginning on December 2, 2014, which is the six-month anniversary of the date on which the option was granted.
  3. The option represents a right to purchase a total of 11,354 shares, and is exercisable in six semi-annual installments, with four installments of 1,892 shares each and two installments of 1,893 shares each, beginning on September 1, 2018, which is the six-month anniversary of the option grant date.
  4. The option represents a right to purchase a total of 15,314 shares, and is exercisable in six semi-annual installments, with four installments of 2,552 shares each and two installments of 2,553 shares each, beginning on September 1, 2017, which is the six-month anniversary of the option grant date.