FORM 4 |
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility |
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Check this box if no longer |
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(Print or Type Responses) |
1. Name and Address of Reporting Person* Yagai, Atsushi |
2. Issuer Name and Ticker or Trading Symbol AFLAC INCORPORATED (AFL) |
6. Relationship of Reporting Person(s) to Issuer |
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Director |
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10% Owner |
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Officer (give |
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Other (specify |
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Senior Vice President |
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(Last) (First) (Middle) 6-1-6-407 Minami Aoyama Minatoku |
3. I.R.S. Identification
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4. Statement for 02/11/2003 |
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5. If Amendment,
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X |
Form filed by One Reporting Person |
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(Street) Tokyo, Japan 107-0061 |
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Form filed by More than One Reporting Person |
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(City) (State) (Zip) |
Table I ¾ Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Security |
2. Trans- |
2A. |
3. Trans- |
4. Securities Acquired (A) |
5. Amount of |
6. Owner- |
7. Nature of |
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Code |
V |
Amount |
(A) |
Price |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
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* |
If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
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Persons who respond to the collection of information contained |
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(Over) |
FORM 4 (continued) |
Table II ¾
Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Derivative |
2. Conver- |
3. Trans- (Month/ |
3A. (Month/ |
4. Trans- |
5. Number of Deriv- |
6. Date Exer- |
7. Title and Amount of |
8. Price |
9. Number |
10. Owner- |
11. Nature |
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Code |
V |
(A) |
(D) |
Date |
Expira- |
Title |
Amount or |
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Employee Stock Option (right to buy) (1) |
$21.1250 |
02/11/03 |
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A |
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15,000 |
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02/12/03 |
02/12/12 |
Common Stock |
15,000 |
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15,000 |
D |
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Employee Stock Option |
$31.4650 |
02/11/03 |
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A |
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30,000 |
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02/11/06 |
02/11/13 |
Common Stock |
30,000 |
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30,000 |
D |
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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. |
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** |
Intentional misstatements or omissions of facts constitute Federal Criminal Violations. |
**Signature of Reporting Person |
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Date |
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See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
By: Patricia A. Bell |
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02/13/03 |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, |
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Potential persons who are to respond to the collection of information contained in this form are not |
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Page 2 |