-----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, GRCndnxgISgFqpH7Mlm4KomZeXveUJqnpmOJxGRldRbSBr1aUfxdrNwp9EBnJlaQ KYU7HEryNl3KbP7RjdJ/Uw== 0001249013-04-000015.txt : 20040128 0001249013-04-000015.hdr.sgml : 20040128 20040128200246 ACCESSION NUMBER: 0001249013-04-000015 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040126 FILED AS OF DATE: 20040128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BOWLUS BRADFORD A CENTRAL INDEX KEY: 0001209505 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31700 FILM NUMBER: 04550456 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 2004-01-26 0 0001027974 PACIFICARE HEALTH SYSTEMS INC /DE/ PHS 0001209505 BOWLUS BRADFORD A 5995 PLAZA DRIVE CYPRESS CA 90630 0 1 0 0 Pres & CEO, Health Plan Div Common Stock 2004-01-26 4 M 0 500 9.19 A 12902.896 D Common Stock 2004-01-26 4 S 0 500 32.64 D 12402.896 D Common Stock 2004-01-26 4 M 0 6700 9.19 A 19102.896 D Common Stock 2004-01-26 4 S 0 6700 32.61 D 12402.896 D Common Stock 2004-01-26 4 M 0 2400 9.19 A 14802.896 D Common Stock 2004-01-26 4 S 0 2400 32.6 D 12402.896 D Common Stock 2004-01-26 4 M 0 2900 9.19 A 15302.896 D Common Stock 2004-01-26 4 S 0 2900 32.58 D 12402.896 D Common Stock 2004-01-26 4 M 0 1800 9.19 A 14202.896 D Common Stock 2004-01-26 4 S 0 1800 32.51 D 12402.896 D Common Stock 2004-01-26 4 M 0 1800 9.19 A 14202.896 D Common Stock 2004-01-26 4 S 0 1800 32.5 D 12402.896 D Common Stock 2004-01-26 4 M 0 1500 9.19 A 13902.896 D Common Stock 2004-01-26 4 S 0 1500 32.49 D 12402.896 D Common Stock 2004-01-26 4 M 0 200 9.19 A 12602.896 D Common Stock 2004-01-26 4 S 0 200 32.53 D 12402.896 D Common Stock 736 I By 401(k) plan Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 500 0 D 2004-01-24 2012-01-24 Common Stock 500 262000 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 1600 0 D 2004-01-24 2012-01-24 Common Stock 1600 260400 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 2000 0 D 2004-01-24 2012-01-24 Common Stock 2000 258400 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 3000 0 D 2004-01-24 2012-01-24 Common Stock 3000 255400 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 300 0 D 2004-01-24 2012-01-24 Common Stock 300 255100 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 5200 0 D 2004-01-24 2012-01-24 Common Stock 5200 249900 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 3000 0 D 2004-01-24 2012-01-24 Common Stock 3000 246900 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 1000 0 D 2004-01-24 2012-01-24 Common Stock 1000 245900 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 2800 0 D 2004-01-24 2012-01-24 Common Stock 2800 243100 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 9300 0 D 2004-01-24 2012-01-24 Common Stock 9300 233800 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 100 0 D 2004-01-24 2012-01-24 Common Stock 100 233700 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 700 0 D 2004-01-24 2012-01-24 Common Stock 700 233000 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 1600 0 D 2004-01-24 2012-01-24 Common Stock 1600 231400 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 300 0 D 2004-01-24 2012-01-24 Common Stock 300 231100 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 800 0 D 2004-01-24 2012-01-24 Common Stock 800 230300 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 500 0 D 2004-01-24 2012-01-24 Common Stock 500 229800 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 6700 0 D 2004-01-24 2012-01-24 Common Stock 6700 223100 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 2400 0 D 2004-01-24 2012-01-24 Common Stock 2400 220700 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 2900 0 D 2004-01-24 2012-01-24 Common Stock 2900 217800 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 1800 0 D 2004-01-24 2012-01-24 Common Stock 1800 216000 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 1800 0 D 2004-01-24 2012-01-24 Common Stock 1800 214200 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 1500 0 D 2004-01-24 2012-01-24 Common Stock 1500 212700 D Non-Qualified Stock Option (right to buy) 9.19 2004-01-26 4 M 0 200 0 D 2004-01-24 2012-01-24 Common Stock 200 212500 D Exercise of stock option 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 stock option exercise was made pursuant to the reporting person's 10b5-1 plan. Bowlus, Bradford A 2004-01-28 -----END PRIVACY-ENHANCED MESSAGE-----