-----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, KRRqcH97qtdUPp5DARQgFVjYWKTkrXZJZi808uHQHnB4mET9Q1dyFowX3NLisb2g 4+jA7cAew0czRFk98ZBhjQ== 0001249013-04-000167.txt : 20041119 0001249013-04-000167.hdr.sgml : 20041119 20041119194003 ACCESSION NUMBER: 0001249013-04-000167 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: 041159092 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 Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 2100 0 D 2001-11-03 2010-11-03 Common Stock 2100 489400 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 100 0 D 2001-11-03 2010-11-03 Common Stock 100 489300 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 800 0 D 2001-11-03 2010-11-03 Common Stock 800 488500 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 2900 0 D 2001-11-03 2010-11-03 Common Stock 2900 485600 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 500 0 D 2001-11-03 2010-11-03 Common Stock 500 485100 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 10800 0 D 2001-11-03 2010-11-03 Common Stock 10800 474300 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 500 0 D 2001-11-03 2010-11-03 Common Stock 500 473800 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 5700 0 D 2001-11-03 2010-11-03 Common Stock 5700 468100 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 500 0 D 2001-11-03 2010-11-03 Common Stock 500 467600 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 200 0 D 2001-11-03 2010-11-03 Common Stock 200 467400 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 1300 0 D 2001-11-03 2010-11-03 Common Stock 1300 466100 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 200 0 D 2001-11-03 2010-11-03 Common Stock 200 465900 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 800 0 D 2001-11-03 2010-11-03 Common Stock 800 465100 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 100 0 D 2001-11-03 2010-11-03 Common Stock 100 465000 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 400 0 D 2001-11-03 2010-11-03 Common Stock 400 464600 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 1200 0 D 2001-11-03 2010-11-03 Common Stock 1200 463400 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 15500 0 D 2001-11-03 2010-11-03 Common Stock 15500 447900 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 500 0 D 2001-11-03 2010-11-03 Common Stock 500 447400 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 3900 0 D 2001-11-03 2010-11-03 Common Stock 3900 443500 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 1900 0 D 2001-11-03 2010-11-03 Common Stock 1900 441600 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 5000 0 D 2001-11-03 2010-11-03 Common Stock 5000 436600 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 3000 0 D 2001-11-03 2010-11-03 Common Stock 3000 433600 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 18900 0 D 2001-11-03 2010-11-03 Common Stock 18900 414700 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 1300 0 D 2001-11-03 2010-11-03 Common Stock 1300 413400 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 500 0 D 2001-11-03 2010-11-03 Common Stock 500 412900 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 1100 0 D 2001-11-03 2010-11-03 Common Stock 1100 411800 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 1800 0 D 2001-11-03 2010-11-03 Common Stock 1800 410000 D Non-Qualified Stock Option (right to buy) 6.031 2004-11-17 4 M 0 10000 0 D 2001-11-03 2010-11-03 Common Stock 10000 400000 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-----