Filing Details

Accession Number:
0001156039-22-000025
Form Type:
4
Zero Holdings:
No
Publication Time:
2022-03-03 18:06:34
Reporting Period:
2022-03-01
Accepted Time:
2022-03-03 18:06:34
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
1659075 W Ronald Penczek 220 Virginia Avenue
Indianapolis IN 46204
Cao & Controller 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 Disposition 2022-03-01 369 $451.50 1,643 No 4 F Direct
Common Stock Acquisiton 2022-03-01 222 $0.00 1,865 No 4 A Direct
Common Stock Acquisiton 2022-03-01 953 $0.00 2,818 No 4 A Direct
Common Stock Disposition 2022-03-02 52 $463.49 2,766 No 4 F Direct
Common Stock Acquisiton 2022-03-03 438 $311.48 3,204 No 4 M Direct
Common Stock Acquisiton 2022-03-03 653 $271.27 3,857 No 4 M Direct
Common Stock Acquisiton 2022-03-03 468 $307.68 4,325 No 4 M Direct
Common Stock Disposition 2022-03-03 2,423 $463.68 1,902 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 F Direct
No 4 A Direct
No 4 A Direct
No 4 F Direct
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) Acquisiton 2022-03-01 882 $0.00 882 $451.50
Common Stock Employee Stock Option (Right to Buy) Disposition 2022-03-03 438 $0.00 438 $311.48
Common Stock Employee Stock Option (Right to Buy) Disposition 2022-03-03 653 $0.00 653 $271.27
Common Stock Employee Stock Option (Right to Buy) Disposition 2022-03-03 468 $0.00 468 $307.68
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
882 2032-03-01 No 4 A Direct
877 2031-03-01 No 4 M Direct
654 2030-03-02 No 4 M Direct
0 2029-03-01 No 4 M Direct
Footnotes
  1. PAYMENT OF TAX LIABILITY BY WITHHOLDING STOCK INCIDENT TO THE VESTING OF PREVIOUSLY GRANTED RESTRICTED STOCK.
  2. Represents restricted share units. Restrictions lapse as follows: 74 shares each on 3/1/2023, 3/1/2024 and 3/1/2025.
  3. Represents performance based restricted share units. Restrictions lapse on 3/1/2022.
  4. This transaction was executed in multiple trades at prices ranging from $463.57 to $463.73. 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.
  5. The option represents a right to purchase a total of 882 shares, and is exercisable in three annual installments of 294 shares each, beginning on 3/1/2023, which is the one-year anniversary of the option grant date.
  6. The option represents a right to purchase a total of 1,315 shares, and is exercisable in three annual installments, with two installments of 438 shares each and one installment of 439 shares, beginning on 3/1/2022, which is the one-year anniversary of the option grant date.
  7. The option represents a right to purchase a total of 1,960 shares, and is exercisable in three annual installments, with two installments of 653 shares each and one installment of 654 shares, beginning on 3/2/2021, which is the one-year anniversary of the option grant date.
  8. The option represents a right to purchase a total of 1,403 shares, and is exercisable in three annual installments, with one installment of 467 shares and two installments of 468 shares each, beginning on 3/1/2020, which is the one-year anniversary of the option grant date.