-----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, UvVXc9fV4QxvrOKLhB9XZFDTe76oQk++9MJRQW9DYaUI7KfgTS5cvMbBTTxsxHAc /bmBMGCSj3/7zhjiN5xB+Q== 0001249013-03-000032.txt : 20031016 0001249013-03-000032.hdr.sgml : 20031016 20031014201824 ACCESSION NUMBER: 0001249013-03-000032 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: 03940582 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 0 800 17.3125 A 16725.478 D Common Stock 2003-09-30 4 S 0 800 49.1 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 49.09 D 15925.478 D Common Stock 2003-09-30 4 M 0 400 17.3125 A 16325.478 D Common Stock 2003-09-30 4 S 0 400 49.08 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 49.07 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 49.06 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 49.05 D 15925.478 D Common Stock 2003-09-30 4 M 0 400 17.3125 A 16325.478 D Common Stock 2003-09-30 4 S 0 400 49.04 D 15925.478 D Common Stock 2003-09-30 4 M 0 4200 17.3125 A 20125.478 D Common Stock 2003-09-30 4 S 0 4200 49.29 D 15925.478 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 300 0 D 2002-01-22 2011-01-22 Common Stock 300 149700 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 100 0 D 2002-01-22 2011-01-22 Common Stock 100 149600 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 6700 0 D 2002-01-22 2011-01-22 Common Stock 6700 142900 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 200 0 D 2002-01-22 2011-01-22 Common Stock 200 142700 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 300 0 D 2002-01-22 2011-01-22 Common Stock 300 142400 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 800 0 D 2002-01-22 2011-01-22 Common Stock 800 141600 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 1000 0 D 2002-01-22 2011-01-22 Common Stock 1000 140600 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 700 0 D 2002-01-22 2011-01-22 Common Stock 700 139900 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 1000 0 D 2002-01-22 2011-01-22 Common Stock 1000 138900 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 200 0 D 2002-01-22 2011-01-22 Common Stock 200 138700 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 10800 0 D 2001-01-22 2011-01-22 Common Stock 10800 127900 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 4300 0 D 2002-01-22 2011-01-22 Common Stock 4300 123600 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 800 0 D 2002-01-22 2011-01-22 Common Stock 800 122800 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 900 0 D 2002-01-22 2011-01-22 Common Stock 900 121900 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 2400 0 D 2002-01-22 2011-01-22 Common Stock 2400 119500 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 800 0 D 2002-01-22 2011-01-22 Common Stock 800 118700 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 800 0 D 2002-01-22 2011-01-22 Common Stock 800 117900 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 400 0 D 2002-01-22 2011-01-22 Common Stock 400 117500 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 100 0 D 2002-01-22 2011-01-22 Common Stock 100 117400 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 200 0 D 2002-01-22 2011-01-22 Common Stock 200 117200 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 100 0 D 2002-01-22 2011-01-22 Common Stock 100 117100 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 400 0 D 2002-01-22 2011-01-22 Common Stock 400 116700 D Non-Qualified Stock Option (right to buy) 17.3125 2003-09-30 4 M 0 4200 0 D 2002-01-22 2011-01-22 Common Stock 4200 112500 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-----