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4//SEC Filing

POTOS KATHRYN K 4

Accession 0000897069-03-001137

CIK 0001062780other

Filed

Sep 25, 8:00 PM ET

Accepted

Sep 26, 2:50 PM ET

Size

18.7 KB

Accession

0000897069-03-001137

Insider Transaction Report

Form 4
Period: 2003-09-24
POTOS KATHRYN K
Senior Vice President
Transactions
  • Disposition to Issuer

    Employee Stock Option (right to buy)

    2003-09-2410,4000 total
    Exercise: $7.19Exp: 2010-09-27Common Stock (10,400 underlying)
  • Disposition to Issuer

    Common Stock

    2003-09-242,8850 total(indirect: By 401(k))
  • Disposition to Issuer

    Common Stock

    2003-09-245,5000 total
  • Disposition to Issuer

    Employee Stock Option (right to buy)

    2003-09-2410,0000 total
    Exercise: $8.20Exp: 2014-03-24Common Stock (10,000 underlying)
  • Disposition to Issuer

    Employee Stock Option (right to buy)

    2003-09-2435,0000 total
    Exercise: $4.31Exp: 2012-01-02Common Stock (35,000 underlying)
  • Disposition to Issuer

    Employee Stock Option (right to buy)

    2003-09-246,6000 total
    Exercise: $8.50Exp: 2011-01-25Common Stock (6,600 underlying)
  • Disposition to Issuer

    Employee Stock Option (right to buy)

    2003-09-2420,0000 total
    Exercise: $14.10Exp: 2014-12-31Common Stock (20,000 underlying)
Footnotes (6)
  • [F1]Disposed of pursuant to the merger agreement between issuer and WellPoint Health Networks Inc. (WellPoint) whereby each share of issuer common stock was canceled and replaced with the right to receive 0.1233 share of WellPoint common stock and $10.25 in cash. On September 24, 2003, the effective date of the merger, the closing price of WellPoint common stock was $76.30 per share.
  • [F2]Shares of common stock held in the reporting person's 401(k) plan as of September 24, 2003.
  • [F3]Grant to reporting person of option to buy shares of issuer common stock under the Cobalt Corporation Equity Incentive Plan.
  • [F4]The option vested and became immediately exercisable at the effective time of the merger.
  • [F5]The Form 4 filed on January 6, 2003 mistakenly reported the expiration date of this option as 12/31/2015. The correct expiration date is 12/31/2014.
  • [F6]This option was converted into an option to purchase 0.2466 shares of WellPoint common stock (rounded down to the nearest whole share) for each share of issuer common stock subject to the original option. Such new option is otherwise subject to the same terms and conditions as the original option, except that the exercise price per share of WellPoint common stock is equal to the exercise price per share of issuer common stock under the original option divided by 0.2466 (rounded up to the nearest whole cent).

Issuer

COBALT CORP

CIK 0001062780

Entity typeother

Related Parties

1
  • filerCIK 0001195095

Filing Metadata

Form type
4
Filed
Sep 25, 8:00 PM ET
Accepted
Sep 26, 2:50 PM ET
Size
18.7 KB