4 1 jsmith.htm 02/11/03 FORM 4 Form 4 - AFLAC Incorporated
| [ ] |
| (Print or Type Responses) |
| 1. Name and Address of Reporting Person* Smith Jr., Joseph W. |
2. Issuer Name and Ticker or Trading Symbol AFLAC INCORPORATED (AFL) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Director |
10% Owner |
|
|
|
|
|
|
|
|
X |
Officer (give title below) |
Other (specify below) |
|
|
|
|
|
|
|
|
Sr. Vice President Chief Investment Officer |
|
|
|
| (Last) (First) (Middle) 8880 River Road |
3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) |
|
4. Statement for Month/Day/Year 02/11/2003 |
|
|
|
7. Individual or Joint/Group Filing (Check Applicable Line) |
|
|
|
|
|
|
5. If Amendment, Date of Original (Month/Day/Year) |
|
|
|
X |
Form filed by One Reporting Person |
|
|
| (Street) Columbus, GA 31904 |
|
|
|
|
|
|
|
Form filed by More than One Reporting Person |
|
|
| (City) (State) (Zip) |
Table I ¾ Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
|
|
|
|
|
|
|
|
|
| 1. Title of Security (Instr. 3) |
2. Trans- action Date (Month/ Day/ Year) |
2A. Deemed Execution Date, if any (Month/ Day/ Year) |
3. Trans- action 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. Owner- ship Form: Direct (D) or Indirect (I) (Instr. 4) |
7. Nature of Indirect Beneficial Owner- ship (Instr. 4) |
|
|
|
Code |
V |
Amount |
(A) or (D) |
Price |
|
|
|
| If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
|
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
(Over) SEC 1474 (9-02) |
| FORM 4 (continued) — 1. Title of Derivative Security (Instr. 3) |
Table II ¾ Derivative Securities Acquired, Disposed of, or Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities) — 2. Conver- sion or Exercise Price of Deri- vative Security |
3. Trans- action Date (Month/ Day/ Year) |
4. Trans- action Code (Instr.8) |
|
5. Number of Deriv- ative Securities Ac- quired (A) or Dis- posed of (D) (Instr. 3, 4 and 5) |
|
6. Date Exer- cisable and Expiration Date (Month/Day/ Year) |
|
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Deriv- ative Secur- ity (Instr. 5) |
9. Number of deriv- ative Secur- ities Bene- ficially Owned Follow- ing Reported Trans- action(s) (Instr. 4) |
10. Owner- ship Form of Deri- vative Security: Direct (D) or Indirect (I) (Instr. 4) |
|
|
|
Code |
V |
(A) |
(D) |
Date Exer- cisable |
Expira- tion Date |
Title |
Amount or Number of Shares |
|
|
| Employee Stock Option (right to buy) (1) |
$31.4650 |
02/11/03 |
A |
|
10,000 |
|
02/11/06 |
02/11/13 |
Common Stock |
10,000 |
10,000 |
D |
| Explanation of Responses: |
| (1) Granted under the AFLAC Incorporated 1997 Stock Option Plan, which is a rule 16b-3 plan with tandem tax withholding rights. |
| ** |
**Signature of Reporting Person |
Date |
| See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
By: Patricia A. Bell For: Joseph W. Smith, Jr. |
02/13/03 |
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, s ee Instruction 6 for procedure. |
| Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
| Page 2 |