-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, If8lypuTgXW4U3bZCwJXqKHbssx2AW9+sB5ABRVj3YFCe1Dj8JvVbTFKaBu+y/Rp 8PawRDQbTSvas65NK5fqng== 0001209191-03-007799.txt : 20030617 0001209191-03-007799.hdr.sgml : 20030617 20030617131941 ACCESSION NUMBER: 0001209191-03-007799 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030613 FILED AS OF DATE: 20030617 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCOTT GREGORY W CENTRAL INDEX KEY: 0001209547 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31700 FILM NUMBER: 03747004 MAIL ADDRESS: STREET 1: 5995 PLAZA DR CITY: CYPRESS STATE: CA ZIP: 90630 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PACIFICARE HEALTH SYSTEMS INC /DE/ CENTRAL INDEX KEY: 0001027974 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 954591529 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 3120 LAKE CENTER DRIVE CITY: SANTA ANA STATE: CA ZIP: 92704 BUSINESS PHONE: 7148255200 MAIL ADDRESS: STREET 1: 3120 LAKE CENTER DRIVE CITY: SANTA ANA STATE: CA ZIP: 92704 FORMER COMPANY: FORMER CONFORMED NAME: N T HOLDINGS INC DATE OF NAME CHANGE: 19961204 4 1 doc4.xml FORM 4 SUBMISSION X0101 42003-06-130001027974PACIFICARE HEALTH SYSTEMS INC /DE/ phs0001209547SCOTT GREGORY W 0100EVP, Chief Financial Off.Common Stock2003-06-134S090048D16425.478DCommon Stock2003-06-134S 020048.02D16225.478DCommon Stock2003-03-134S030048.05D15925.478DOn May 28, 2003 a total of 3,333 shares of common stock that were part of a restricted share grant previously made to the reporting person under the Issuer's 1996 Stock Option Plan vested and became non-forfeitable. As a result of this vesting, the Reported Person became obligated to pay to the Issuer withholding taxes in the amount of approximately $49,021.04. The Reporting Person sold the 1,400 shares of common stock reported on this Form 4 to cover this tax withholding obligation.S/Gregory W Scott2003-06-16 -----END PRIVACY-ENHANCED MESSAGE-----