Statement of Changes in Beneficial Ownership (4)
October 19 2020 - 4:32PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
Haytaian Peter D |
2. Issuer Name and Ticker or Trading Symbol
Anthem, Inc.
[
ANTM
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) EVP & President, Commercial |
(Last)
(First)
(Middle)
220 VIRGINIA AVENUE |
3. Date of Earliest Transaction
(MM/DD/YYYY)
10/15/2020 |
(Street)
INDIANAPOLIS, IN 46204
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security (Instr. 3)
|
2. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. Code (Instr. 8)
|
4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
|
5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
|
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
|
7. Nature of Indirect Beneficial Ownership (Instr. 4)
|
Code
|
V
|
Amount
|
(A) or (D)
|
Price
|
Common Stock | 10/15/2020 | | M | | 4667 | A | $100.77 | 42602 | D | |
Common Stock | 10/15/2020 | | S(1) | | 1000 | D | $287.58 (2) | 41602 | D | |
Common Stock | 10/15/2020 | | S(1) | | 800 | D | $290.30 (3) | 40802 | D | |
Common Stock | 10/15/2020 | | S(1) | | 1600 | D | $292.13 (4) | 39202 | D | |
Common Stock | 10/15/2020 | | S(1) | | 1120 | D | $293.33 (5) | 38082 | D | |
Common Stock | 10/15/2020 | | S(1) | | 147 | D | $293.98 (6) | 37935 | D | |
Common Stock | 10/15/2020 | | S(1) | | 1167 | D | $295 | 36768 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Employee Stock Option (Right to Buy) | $100.77 | 10/15/2020 | | M | | | 4667 | (7) | 5/1/2021 | Common Stock | 4667.0 | $0 | 781 | D | |
Explanation of Responses: |
(1) | The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on August 14, 2020. |
(2) | This transaction was executed in multiple trades at prices ranging from $287.17 to $287.90. 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 sold at each separate price within the ranges set forth in footnotes (2) through (6) to this Form 4. |
(3) | This transaction was executed in multiple trades at prices ranging from $289.81 to $290.79. The price reported reflects the weighted average sale price. |
(4) | This transaction was executed in multiple trades at prices ranging from $291.71 to $292.62. The price reported reflects the weighted average sale price. |
(5) | This transaction was executed in multiple trades at prices ranging from $292.75 to $293.64. The price reported reflects the weighted average sale price. |
(6) | This transaction was executed in multiple trades at prices ranging from $293.87 to $294.04. The price reported reflects the weighted average sale price. |
(7) | The option represents a right to purchase a total of 10,127 shares, and is exercisable in six semi-annual installments with one installment of 1,687 shares and five installments of 1,688 shares each beginning on November 1, 2014, which is the six-month anniversary of the date on which the option was granted. |
Reporting Owners
|
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Haytaian Peter D 220 VIRGINIA AVENUE INDIANAPOLIS, IN 46204 |
|
| EVP & President, Commercial |
|
Signatures
|
/s/ Kathleen S. Kiefer, Attorney in fact | | 10/19/2020 |
**Signature of Reporting Person | Date |
Anthem (NYSE:ANTM)
Historical Stock Chart
From Mar 2024 to Apr 2024
Anthem (NYSE:ANTM)
Historical Stock Chart
From Apr 2023 to Apr 2024