-----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, CvAEMT9CZAaRSAEjeo3rcTGdZI8N6iwjnFD3R05mpzjrjmBkqFGINJsMb4HTgwwg gYa+yjcrsUa+J5CCzItwXQ== 0001317212-05-000056.txt : 20050506 0001317212-05-000056.hdr.sgml : 20050506 20050506192801 ACCESSION NUMBER: 0001317212-05-000056 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20050504 FILED AS OF DATE: 20050506 DATE AS OF CHANGE: 20050506 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PINCKERT WARREN E II CENTRAL INDEX KEY: 0001200623 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31700 FILM NUMBER: 05809574 BUSINESS ADDRESS: BUSINESS PHONE: 510-732-7200 MAIL ADDRESS: STREET 1: 3347 INVESTMENT BOULEVARD CITY: HAYWARD STATE: CA ZIP: 94545 4 1 edgardoc.xml PRIMARY DOCUMENT X0202 4 2005-05-04 0 0001027974 PACIFICARE HEALTH SYSTEMS INC /DE/ PHS 0001200623 PINCKERT WARREN E II 5995 PLAZA DRIVE CYPRESS CA 90630 1 0 0 0 Common Stock 2005-05-04 4 M 0 8000 35.969 A 13264 D Common Stock 2005-05-04 4 S 0 8000 61.01 D 5264 D Common Stock 2005-05-04 4 M 0 10000 30.094 A 15264 D Common Stock 2005-05-04 4 S 0 10000 61.01 D 5264 D Common Stock 2005-05-04 4 M 0 10000 26.188 A 15264 D Common Stock 2005-05-04 4 S 0 10000 61.01 D 5264 D Common Stock 2005-05-04 4 M 0 2000 35.969 A 7264 D Non-Qualified Stock Option (right to buy) 26.188 2005-05-04 4 M 0 10000 0 D 1999-06-30 2008-01-01 Common Stock 10000 0 D Non-Qualified Stock Option (right to buy) 30.094 2005-05-04 4 M 0 10000 0 D 1999-06-30 2010-06-30 Common Stock 10000 0 D Non-Qualified Stock Option (right to buy) 35.969 2005-05-04 4 M 0 8000 0 D 1999-06-30 2009-06-30 Common Stock 8000 2000 D Non-Qualified Stock Option (right to buy) 35.969 2005-05-04 4 M 0 2000 0 D 1999-06-30 2009-06-30 Common Stock 2000 0 D Exercise of stock option granted under the Amended and Restated 1996 Non-Officer Directors Stock Plan of PacifiCare Health Systems, Inc. in a transaction exempt under Rule 16b-3. Exercise of stock option granted under the Amended and Restated 2000 Non-Employee Directors Stock Plan of PacifiCare Health Systems, Inc. in a transaction exempt under Rule 16b-3. By: Michael E. Jansen For: Warren E Pinckert II 2005-05-06 EX-24 2 pinckertpowerofattorney.txt EDGAR SUPPORTING DOCUMENT POWER OF ATTORNEY I, Warren E. Pinckert II, do hereby constitute and appoint Joseph S. Konowiecki, Michael E. Jansen and Ellen K. Erickson, or each one of them separately, as my true and lawful attorneys and agents, to do any and all lawful acts and things in my name and on my behalf, and to execute any and all instruments, forms or filings in my name and on my behalf, which said attorneys and agents, or each one of them separately, may deem necessary or advisable in order for me to comply with the disclosure requirements of Section 16(a) of the Securities Exchange Act of 1934, and any related rules, regulations, and requirements of the Securities and Exchange Commission; and do hereby ratify and confirm all that said attorneys and agents, or each one of them separately, shall do or cause to be done by virtue hereof. Date: May 17, 2004 Warren E. Pinckert II -----END PRIVACY-ENHANCED MESSAGE-----