-----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, NTCEu3hDFz4UjEPhL6ul5MeUYRXZUqOaBPaEAcq3DJ3xm6Y+psBqjYLRGuFDGIpI WUv6yJhk6YeyT+4QvWTnNQ== 0001249013-04-000190.txt : 20041217 0001249013-04-000190.hdr.sgml : 20041217 20041217201145 ACCESSION NUMBER: 0001249013-04-000190 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041215 FILED AS OF DATE: 20041217 DATE AS OF CHANGE: 20041217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCOTT GREGORY W CENTRAL INDEX KEY: 0001209547 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31700 FILM NUMBER: 041212689 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: 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 2004-12-15 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 Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 300 0 D 2004-01-22 2011-01-22 Common Stock 300 94600 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 200 0 D 2004-01-22 2011-01-22 Common Stock 200 94400 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 2100 0 D 2004-01-22 2011-01-22 Common Stock 2100 92300 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 1300 0 D 2004-01-22 2011-01-22 Common Stock 1300 91000 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 1300 0 D 2004-01-22 2011-01-22 Common Stock 1300 89700 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 3200 0 D 2004-01-22 2011-01-22 Common Stock 3200 86500 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 4900 0 D 2004-01-22 2011-01-22 Common Stock 4900 81600 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 500 0 D 2004-01-22 2011-01-22 Common Stock 500 81100 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 1200 0 D 2004-01-22 2011-01-22 Common Stock 1200 79900 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 500 0 D 2004-01-22 2011-01-22 Common Stock 500 79400 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 500 0 D 2004-01-22 2011-01-22 Common Stock 500 78900 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 100 0 D 2004-01-22 2011-01-22 Common Stock 100 78800 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 300 0 D 2004-01-22 2011-01-22 Common Stock 300 78500 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 200 0 D 2004-01-22 2011-01-22 Common Stock 200 78300 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 900 0 D 2004-01-22 2011-01-22 Common Stock 900 77400 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 500 0 D 2004-01-22 2011-01-22 Common Stock 500 76900 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 100 0 D 2004-01-22 2011-01-22 Common Stock 100 76800 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 100 0 D 2004-01-22 2011-01-22 Common Stock 100 76700 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 100 0 D 2004-01-22 2011-01-22 Common Stock 100 76600 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 500 0 D 2004-01-22 2011-01-22 Common Stock 500 76100 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 200 0 D 2004-01-22 2011-01-22 Common Stock 200 75900 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 200 0 D 2004-01-22 2011-01-22 Common Stock 200 75700 D Non-Qualified Stock Option (right to buy) 8.656 2004-12-15 4 M 0 700 0 D 2004-01-22 2011-01-22 Common Stock 700 75000 D Non-Qualified Stock Option (right to buy) 9.19 2004-12-15 4 M 0 39900 0 D 2003-01-24 2012-01-24 Common Stock 39900 260100 D Non-Qualified Stock Option (right to buy) 9.19 2004-12-15 4 M 0 30400 0 D 2003-01-24 2012-01-24 Common Stock 30400 229700 D Non-Qualified Stock Option (right to buy) 9.19 2004-12-15 4 M 0 4000 0 D 2004-01-24 2012-01-24 Common Stock 4000 225700 D Non-Qualified Stock Option (right to buy) 9.19 2004-12-15 4 M 0 1700 0 D 2004-01-24 2012-01-24 Common Stock 1700 224000 D Non-Qualified Stock Option (right to buy) 9.19 2004-12-15 4 M 0 500 0 D 2004-01-24 2012-01-24 Common Stock 500 223500 D Non-Qualified Stock Option (right to buy) 9.19 2004-12-15 4 M 0 3100 0 D 2004-01-24 2012-01-24 Common Stock 3100 220400 D Non-Qualified Stock Option (right to buy) 9.19 2004-12-15 4 M 0 500 0 D 2004-01-24 2012-01-24 Common Stock 500 219900 D Exercise of stock option granted under the 2000 Employee Plan of PacifiCare Health Systems, Inc. in a transaction exempt under Rule 16b-3. The stock option exercise and sale of shares acquired upon exercise were made pursuant to the reporting person's 10b5-1 plan. Exercise of stock option granted under the 1996 Stock Option Plan for Officers and Key Employees of PacifiCare Health Systems, Inc. in a transaction exempt under Rule 16b-3. The stock option exercise and sale of shares acquired upon exercise were made pursuant to the reporting person's 10b5-1 plan. Scott, Gregory W 2004-12-17 -----END PRIVACY-ENHANCED MESSAGE-----