Filing Details

Accession Number:
0001127602-17-010158
Form Type:
4
Zero Holdings:
No
Publication Time:
2017-03-03 16:24:23
Reporting Period:
2017-03-01
Filing Date:
2017-03-03
Accepted Time:
2017-03-03 16:24:23
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 120 Monument Circle
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 Disposition 2017-03-01 559 $166.97 17,376 No 4 F Direct
Common Stock Acquisiton 2017-03-01 3,744 $0.00 21,120 No 4 A Direct
Common Stock Acquisiton 2017-03-02 5,000 $108.35 26,120 No 4 M Direct
Common Stock Acquisiton 2017-03-02 6,762 $131.80 32,882 No 4 M Direct
Common Stock Acquisiton 2017-03-02 11,174 $146.93 44,056 No 4 M Direct
Common Stock Disposition 2017-03-02 21,908 $166.27 22,148 No 4 S Direct
Common Stock Disposition 2017-03-02 1,028 $166.75 21,120 No 4 S Direct
Common Stock Disposition 2017-03-02 605 $165.97 20,515 No 4 F Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 F Direct
No 4 A Direct
No 4 M Direct
No 4 M Direct
No 4 M Direct
No 4 S Direct
No 4 S Direct
No 4 F 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 2017-03-01 15,314 $0.00 15,314 $166.97
Common Stock Employee Stock Option (Right to Buy) Disposition 2017-03-02 5,000 $0.00 5,000 $108.35
Common Stock Employee Stock Option (Right to Buy) Disposition 2017-03-02 6,762 $0.00 6,762 $131.80
Common Stock Employee Stock Option (Right to Buy) Disposition 2017-03-02 11,174 $0.00 11,174 $146.93
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
15,314 2027-03-01 No 4 A Direct
16,191 2021-06-02 No 4 M Direct
13,527 2026-03-01 No 4 M Direct
5,588 2025-03-02 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: 1,248 shares each on 3/1/2018, 3/1/2019 and 3/1/2020.
  3. This transaction was executed in multiple trades at prices ranging from $165.74 to $166.73. 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.
  4. This transaction was executed in multiple trades at prices ranging from $166.74 to $166.78. 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 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.
  6. 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 12/2/14, which is the six-month anniversary of the date on which the option was granted.
  7. The option represents a right to purchase a total of 20,289 shares, and is exercisable in six semi-annual installments, with three installments of 3,381 shares each and three installments of 3,382 shares each, beginning on September 1, 2016, which is the six-month anniversary of the option grant date.
  8. The option represents a right to purchase a total of 16,762 shares, and is exercisable in six semi annual installments with two installments of 2,793 shares each and four installments of 2,794 shares each beginning on September 2, 2015, which is the six-month anniversary of the date on which the option was granted.