-----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, RRpeGQM8jEgcUm5Tq6QNxOb9Dt0TkEi2ssUbYStp4bJn6aC812ax2Ypd82U3G1i9 ebvHm+KV+gV0Z2mm3srIWg== 0001249013-04-000043.txt : 20040202 0001249013-04-000043.hdr.sgml : 20040202 20040202214333 ACCESSION NUMBER: 0001249013-04-000043 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030122 FILED AS OF DATE: 20040202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PHANSTIEL HOWARD G CENTRAL INDEX KEY: 0001069411 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-31700 FILM NUMBER: 04560847 BUSINESS ADDRESS: STREET 1: 245 FISCHER AVE STE D-1 CITY: COSTA MESA STATE: CA ZIP: 92626 BUSINESS PHONE: 7147517400 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 primary_doc.xml PRIMARY DOCUMENT X0201 4/A 2003-01-22 2003-01-24 0 0001027974 PACIFICARE HEALTH SYSTEMS INC /DE/ phs 0001069411 PHANSTIEL HOWARD G 5995 PLAZA DRIVE CYPRESS CA 90630 1 1 0 0 President & CEO Common Stock 31925.478 D Restricted Stock Units 0 2003-01-22 4 A 0 105000 0 A Common Stock 105000 105000 D On 1/22/03, the reporting person was granted an aggregate of 105,000 shares of restricted stock under the 1996 Stock Option Plan for Officers and Key Employees, consisting of a grant of 75,000 shares which vest over a 4-year period and a grant of 30,000 shares which vest over a 2-year period. In accordance with the terms of the grants, the reporting person deferred both grants into restricted stock units over the applicable vesting periods. On the original Form 4 filed on 1/25/03, both grants were erroneously reflected as restricted stock. On 2/11/03, an amendment to the original Form 4 was filed to reflect 75,000 shares as restricted stock units. This amendment corrects both the original Form 4 and the amendment to the original Form 4 to appropriately reflect all of the 105,000 shares (including the remaining 30,000 shares) as restricted stock units. Howard G Phanstiel 2004-02-02 -----END PRIVACY-ENHANCED MESSAGE-----