-----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, SjKBm7ggFP/YRuYLFG9Q4JTNE9sREjbS5Jj6Eg3gvxM1MoF7V5DhW9psRHD6iV+U v6mfUjP8WmSKjfGDFQfJCQ== 0001209191-03-009947.txt : 20030702 0001209191-03-009947.hdr.sgml : 20030702 20030702134604 ACCESSION NUMBER: 0001209191-03-009947 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030702 FILED AS OF DATE: 20030702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NG DOMINIC CENTRAL INDEX KEY: 0001201236 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31700 FILM NUMBER: 03770961 BUSINESS ADDRESS: STREET 1: EAST WEST BANK STREET 2: 415 HUHTINGTON DR. CITY: SAN MARINO STATE: CA ZIP: 91108 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 42003-07-020001027974PACIFICARE HEALTH SYSTEMS INC /DE/ phs0001201236NG DOMINIC 1000Non-Qualified Stock Option (right to buy)49.332003-06-304A050000A2003-06-302013-06-30ommon Stock50005000DRepresents an annual formula grant of an Option (right to buy) under the Amended and Restated 1996 Non-Employee Directors Stock Plan of PacifiCare Helth Systems, Inc., (the "Director Plan") in a transaction exempt under Rule 16b-3. The Option is fully vested and exercisable on the date of grant (6/30/03); however, the underlying shares of PacifiCare common stock acquired under exercise of the Option may not be sold or transerred within the first six months of the date of grant.s/Dominic Ng2003-07-02 -----END PRIVACY-ENHANCED MESSAGE-----