-----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, FfTW4gUIc+cvY8a72HzHxG0vGVvoca9vcWtubJ0ef0yXPb8edQGogp+1fqBOTcJn EC6qKh+/qNSFBBll5lI50A== 0001249013-03-000031.txt : 20031016 0001249013-03-000031.hdr.sgml : 20031016 20031014202042 ACCESSION NUMBER: 0001249013-03-000031 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031002 FILED AS OF DATE: 20031014 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCOTT GREGORY W CENTRAL INDEX KEY: 0001209547 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-31700 FILM NUMBER: 03940584 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/A 1 edgardoc.xml PRIMARY DOCUMENT X0201 4/A 2003-10-02 2003-10-02 0 0001027974 PACIFICARE HEALTH SYSTEMS INC /DE/ PHS 0001209547 SCOTT GREGORY W 5995 PLAZA DRIVE CYPRESS CA 90630 0 1 0 0 EVP, Chief Financial Officer Common Stock 2003-09-30 4 M 0 300 17.3125 A 16225.478 D Common Stock 2003-09-30 4 S 0 300 49.28 D 15925.478 D Common Stock 2003-09-30 4 M 0 100 17.3125 A 16025.478 D Common Stock 2003-09-30 4 S 0 100 49.26 D 15925.478 D Common Stock 2003-09-30 4 M 0 6700 17.3125 A 22625.478 D Common Stock 2003-09-30 4 S 0 6700 49.25 D 15925.478 D Common Stock 2003-09-30 4 M 0 200 17.3125 A 16125.478 D Common Stock 2003-09-30 4 S 0 200 49.24 D 15925.478 D Common Stock 2003-09-30 4 M 0 300 17.3125 A 16225.478 D Common Stock 2003-09-30 4 S 0 300 49.23 D 15925.478 D Common Stock 2003-09-30 4 M 0 800 17.3125 A 16725.478 D Common Stock 2003-09-30 4 S 0 800 49.2 D 15925.478 D Common Stock 2003-09-30 4 M 0 1000 17.3125 A 16925.478 D Common Stock 2003-09-30 4 S 0 1000 49.18 D 15925.478 D Common Stock 2003-09-30 4 M 0 700 17.3125 A 16625.478 D Common Stock 2003-09-30 4 S 0 700 49.17 D 15925.478 D Common Stock 2003-09-30 4 M 0 1000 17.3125 A 16925.478 D Common Stock 2003-09-30 4 S 0 1000 49.16 D 15925.478 D Common Stock 2003-09-30 4 M 0 200 17.3125 A 16125.478 D Common Stock 2003-09-30 4 S 0 200 49.21 D 15925.478 D Common Stock 2003-09-30 4 M 0 10800 17.3125 A 26725.478 D Common Stock 2003-09-30 4 S 0 10800 49.15 D 15925.478 D Common Stock 2003-09-30 4 M 0 4300 17.3125 A 20225.478 D Common Stock 2003-09-30 4 S 0 4300 49.14 D 15925.478 D Common Stock 2003-09-30 4 M 0 800 17.3125 A 16725.478 D Common Stock 2003-09-30 4 S 0 800 49.13 D 15925.478 D Common Stock 2003-09-30 4 M 0 900 17.3125 A 16825.478 D Common Stock 2003-09-30 4 S 0 900 49.12 D 15925.478 D Common Stock 2003-09-30 4 M 0 2400 17.3125 A 18325.478 D Common Stock 2003-09-30 4 S 0 2400 49.11 D 15925.478 D This amended Form 4 is being filed to correct certain typographical errors that incorrectly referenced an $18.38 per share exercise price for the option being exercised (instead of the $17.3125 per share exercise price that is correctly referenced on this amended Form 4.) Exercise of stock option granted under the 2000 Employee Plan of PacifiCare Health Systems, Inc. in a transaction exempt under Rule 16b-3. Scott, Gregory W 2003-10-06 -----END PRIVACY-ENHANCED MESSAGE-----