-----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, USLH8mW0/dDBHkZuVBjELHOMIdNJcRBr5YJW3e2V3XV9nvnrXDFj7jUl+hfR/GAC 31rqhVhjRklebIssizziVw== 0001249013-04-000163.txt : 20041119 0001249013-04-000163.hdr.sgml : 20041119 20041119193900 ACCESSION NUMBER: 0001249013-04-000163 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041117 FILED AS OF DATE: 20041119 DATE AS OF CHANGE: 20041119 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 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31700 FILM NUMBER: 041159087 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: 1231 BUSINESS ADDRESS: STREET 1: 5995 PLAZA DRIVE CITY: CYPRESS STATE: CA ZIP: 90630-5028 BUSINESS PHONE: 714-952-1121 MAIL ADDRESS: STREET 1: 5995 PLAZA DRIVE CITY: CYPRESS STATE: CA ZIP: 90630-5028 FORMER COMPANY: FORMER CONFORMED NAME: N T HOLDINGS INC DATE OF NAME CHANGE: 19961204 4 1 edgardoc.xml PRIMARY DOCUMENT X0202 4 2004-11-17 0 0001027974 PACIFICARE HEALTH SYSTEMS INC /DE/ PHS 0001069411 PHANSTIEL HOWARD G 5995 PLAZA DRIVE CYPRESS CA 90630 1 1 0 0 Chairman of the Board & CEO Common Stock 2004-11-17 4 M 0 700 6.031 A 64550.956 D Common Stock 2004-11-17 4 S 0 700 47.01 D 63850.956 D Common Stock 2004-11-17 4 M 0 25000 6.031 A 88850.956 D Common Stock 2004-11-17 4 S 0 25000 47 D 63850.956 D Common Stock 2004-11-17 4 M 0 500 6.031 A 64350.956 D Common Stock 2004-11-17 4 S 0 500 46.99 D 63850.956 D Common Stock 2004-11-17 4 M 0 200 6.031 A 64050.956 D Common Stock 2004-11-17 4 S 0 200 46.9 D 63850.956 D Common Stock 2004-11-17 4 M 0 1000 6.031 A 64850.956 D Common Stock 2004-11-17 4 S 0 1000 46.89 D 63850.956 D Common Stock 2004-11-17 4 M 0 7200 6.031 A 71050.956 D Common Stock 2004-11-17 4 S 0 7200 46.88 D 63850.956 D Common Stock 2004-11-17 4 M 0 300 6.031 A 64150.956 D Common Stock 2004-11-17 4 S 0 300 46.86 D 63850.956 D Common Stock 2004-11-17 4 M 0 700 6.031 A 64550.956 D Common Stock 2004-11-17 4 S 0 700 46.85 D 63850.956 D Common Stock 2004-11-17 4 M 0 100 6.031 A 63950.956 D Common Stock 2004-11-17 4 S 0 100 46.84 D 63850.956 D Common Stock 2004-11-17 4 M 0 1500 6.031 A 65350.956 D Common Stock 2004-11-17 4 S 0 1500 46.83 D 63850.956 D Common Stock 2004-11-17 4 M 0 800 6.031 A 64650.956 D Common Stock 2004-11-17 4 S 0 800 46.81 D 63850.956 D Common Stock 2004-11-17 4 M 0 8800 6.031 A 72650.956 D Common Stock 2004-11-17 4 S 0 8800 46.8 D 63850.956 D Common Stock 2004-11-17 4 M 0 3600 6.031 A 67450.956 D Common Stock 2004-11-17 4 S 0 3600 46.79 D 63850.956 D Common Stock 2004-11-17 4 M 0 1300 6.031 A 65150.956 D Common Stock 2004-11-17 4 S 0 1300 46.76 D 63850.956 D Common Stock 2004-11-17 4 M 0 12700 6.031 A 76550.956 D Common Stock 2004-11-17 4 S 0 12700 46.75 D 63850.956 D Exercise of stock option granted under the 2000 Employee Plan of PacifiCare Health Systems, Inc. in a transaction exempt under Rule 16b-3. Howard G Phanstiel 2004-11-19 -----END PRIVACY-ENHANCED MESSAGE-----