-----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, PiU74wDL47S03jZjLmT7+B6rf6vUPW6HkUuSxWsGrs5uOnPKp5XEt8KXc/nZpuIX GPtiyzA3i9Occ8WdC4fvMg== 0001249013-03-000008.txt : 20030919 0001249013-03-000008.hdr.sgml : 20030919 20030919182137 ACCESSION NUMBER: 0001249013-03-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030917 FILED AS OF DATE: 20030919 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOSECOFF JACQUELINE B CENTRAL INDEX KEY: 0001209524 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31700 FILM NUMBER: 03903284 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 edgardoc.xml PRIMARY DOCUMENT X0201 4 2003-09-17 0 0001027974 PACIFICARE HEALTH SYSTEMS INC /DE/ PHS 0001209524 KOSECOFF JACQUELINE B 5995 PLAZA DRIVE CYPRESS CA 90630 0 1 0 0 EVP, Pharmaceutical Services Common Stock 2003-09-17 4 M 0 1900 23.237 A 1900 D Common Stock 2003-09-17 4 S 0 1900 51.16 D 0 D Common Stock 2003-09-17 4 M 0 800 23.237 A 800 D Common Stock 2003-09-17 4 S 0 800 51.15 D 0 D Common Stock 2003-09-17 4 M 0 400 23.237 A 400 D Common Stock 2003-09-17 4 S 0 400 551.14 D 0 D Common Stock 2003-09-17 4 M 0 100 23.237 A 100 D Common Stock 2003-09-17 4 S 0 100 51.13 D 0 D Common Stock 2003-09-17 4 M 0 100 23.237 A 100 D Common Stock 2003-09-17 4 S 0 100 51.12 D 0 D Common Stock 2003-09-17 4 M 0 400 23.237 A 400 D Common Stock 2003-09-17 4 S 0 400 51.1 D 0 D Common Stock 2003-09-17 4 M 0 3600 23.237 A 3600 D Common Stock 2003-09-17 4 S 0 3600 551.09 D 0 D Common Stock 2003-09-17 4 M 0 200 23.237 A 200 D Common Stock 2003-09-17 4 S 0 200 51.08 D 0 D Common Stock 2003-09-17 4 M 0 300 23.237 A 300 D Common Stock 2003-09-17 4 S 0 300 51.06 D 0 D Common Stock 2003-09-17 4 M 0 200 23.237 A 200 D Common Stock 2003-09-17 4 S 0 200 51.05 D 0 D Common Stock 2003-09-17 4 M 0 800 23.237 A 800 D Common Stock 2003-09-17 4 S 0 800 551.04 D 0 D Common Stock 2003-09-17 4 M 0 1200 23.237 A 1200 D Common Stock 2003-09-17 4 S 0 1200 51.02 D 0 D Common Stock 2003-09-17 4 M 0 15000 23.237 A 15000 D Common Stock 2003-09-17 4 S 0 15000 51 D 0 D Common Stock 122 I By 401(k) plan Non-Qualified Stock Option (right to buy) 23.237 2003-09-17 4 M 0 1900 0 D 2003-07-22 2012-07-22 Common Stock 1900 98100 D Non-Qualified Stock Option (right to buy) 23.237 2003-09-17 4 M 0 800 0 D 2003-07-22 2012-07-22 Common Stock 800 97300 D Non-Qualified Stock Option (right to buy) 23.237 2003-09-17 4 M 0 400 0 D 2003-07-22 2012-07-22 Common Stock 400 96900 D Non-Qualified Stock Option (right to buy) 23.237 2003-09-17 4 M 0 100 0 D 2003-07-22 2012-07-22 Common Stock 100 96800 D Non-Qualified Stock Option (right to buy) 23.237 2003-09-17 4 M 0 100 0 D 2003-07-22 2012-07-22 Common Stock 100 96700 D Non-Qualified Stock Option (right to buy) 23.237 2003-09-17 4 M 0 400 0 D 2003-07-22 2012-07-22 Common Stock 400 96300 D Non-Qualified Stock Option (right to buy) 23.237 2003-09-17 4 M 0 3600 0 D 2003-07-22 2012-07-22 Common Stock 3600 92700 D Non-Qualified Stock Option (right to buy) 23.237 2003-09-17 4 M 0 200 0 D 2003-07-22 2012-07-22 Common Stock 200 92500 D Non-Qualified Stock Option (right to buy) 23.237 2003-09-17 4 M 0 300 0 D 2003-07-22 2012-07-22 Common Stock 300 92200 D Non-Qualified Stock Option (right to buy) 23.237 2003-09-17 4 M 0 200 0 D 2003-07-22 2012-07-22 Common Stock 200 92000 D Non-Qualified Stock Option (right to buy) 23.237 2003-09-17 4 M 0 800 0 D 2003-07-22 2012-07-22 Common Stock 800 91200 D Non-Qualified Stock Option (right to buy) 23.237 2003-09-17 4 M 0 1200 0 D 2003-07-22 2012-07-22 Common Stock 1200 90000 D Non-Qualified Stock Option (right to buy) 23.237 2003-09-17 4 M 0 15000 0 D 2003-07-22 2012-07-22 Common Stock 15000 75000 D Granted under the 1996 Stock Option Plan for Officers and Key Employees of PacifiCare Health Systems, Inc., as amended, in a transaction exempt under Rule 16b-3. The option becomes vested in four equal annual installments on each of the first four anniversaries of the date of grant (July 22, 2003). Jacqueline B Kosecoff 2003-09-17 -----END PRIVACY-ENHANCED MESSAGE-----