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AFLAC INC — Director's Dealing 2003
Feb 11, 2003
29976_dirs_2003-02-11_ded33604-cf82-4a87-8ec6-33dda28a6f56.zip
Director's Dealing
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5 1 lake5123102.htm AFLAC INCORPORATED - FORM 5 Form 5 - AFLAC Incorporated
| [ ] | Check this box if no longer subject to Section 16. Form 4 or Form 5 obli- gations may continue. See Instruc- tion 1(b). |
|---|---|
| [ ] | Form 3 Holdings Reported |
| [ ] | Form 4 Transactions Reported |
| 1. Name and Address of Reporting Person* Lake, II, Charles Ditmars | 2. Issuer Name and Ticker or Trading Symbol AFLAC INCORPORATED (AFL) | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Director | 10% Owner | ||||||||
| X | Officer (give title below) | Other (specify below) | |||||||
| President - AFLAC Japan | |||||||||
| (Last) (First) (Middle) 3-9-15 Daizawa Setagaya | 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) | 4. Statement for Month/Year 12/31/2002 | 7. Individual or Joint/Group Reporting (check applicable line) | ||||||
| 5. If Amendment, Date of Original (Month/Year) | X | Form Filed by One Reporting Person | |||||||
| (Street) Tokyo, Japan | 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 Execu- tion 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 Ben- eficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Owner- ship Form: Di- rect (D) or Indi- rect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||
| Amount | (A) or (D) | Price | |||||||
| Common Stock | 12/31/02 | I | 6(1) | A | 850 | I | 401(K) Plan |
- 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) SEC2270 (9-02)
| FORM 5 (continued) — 1. Title of Derivative Security (Instr. 3) | 3. Trans -action Date (Month/ Day/ Year) | 4. Trans- action Code (Instr.8) | 5. Number of Deriva- tive Securities Ac- quired (A) or Dis- posed of (D) (Instr. 3, 4 and 5) | 6. Date Exercis- able and Expi- ration Date (Month/Day/ Year) | 7. Title and Amount of Underly- ing Securities (Instr. 3 and 4) | 8. Price of De- riva- tive Secu- rity (Instr. 5) | 9. Number of De- rivative Securi- ties Ben- eficially Owned at End of Year (Instr. 4) | 10. Owner- ship of Deriva- tive Se- curity: Direct (D) or Indirect (I) (Instr. 4) | |||
|---|---|---|---|---|---|---|---|---|---|---|---|
| (A) | (D) | Date Exer- cisable | Expira- tion Date | Title | Amount or Number of Shares | ||||||
| Stock Units | 12/31/02 (2) | I | 3 | (2) | Common Stock | 3 | (2) | 874 | D |
| Explanation of Responses: |
|---|
| (1) Between January 1, 2002 and December 31, 2002, the reporting person acquired 6 shares of AFLAC Incorporated Common Stock under the AFLAC Incorporated 401(k) plan. The information in this report is based on a plan statement dated as of December 31, 2002. (2) The phantom stock units were accrued under AFLAC's Incorporated Executive Deferred Compensation Plan (EDCP). The EDCP holds Stock Units on the reporting party's behalf representing the value of the Common Stock. The stock units were accrued between 01/01/02 through 06/06/02 at prices ranging from $27.2407 to $31.1944. |
| ** | **Signature of Reporting Person |
|---|---|
| See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | By: Patricia A. Bell For: Charles Ditmars Lake II |
| 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 SEC2270 (9-02)
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