-----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, CSJTBoALUkNppSQeNlkmVKBppTj5B0YbxRMgTVFODvwmwNcAqlniKlrIB6oFV60Q u+HEPWaqcbTtRyBglfPTDQ== 0001179110-04-018541.txt : 20040922 0001179110-04-018541.hdr.sgml : 20040922 20040922163320 ACCESSION NUMBER: 0001179110-04-018541 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040921 FILED AS OF DATE: 20040922 DATE AS OF CHANGE: 20040922 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PRICELINE COM INC CENTRAL INDEX KEY: 0001075531 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 061528493 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 800 CONNECTICUT AVE CITY: NORWALK STATE: CT ZIP: 06854 BUSINESS PHONE: 2037053000 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MILLONES PETER J CENTRAL INDEX KEY: 0001214612 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25581 FILM NUMBER: 041041431 BUSINESS ADDRESS: STREET 1: PRICELINE.COM INC STREET 2: 800 CONNECTICUT AVE CITY: NORWALK STATE: CT ZIP: 06854 BUSINESS PHONE: 2032998000 4 1 edgar.xml FORM 4 - X0202 4 2004-09-21 0 0001075531 PRICELINE COM INC PCLN 0001214612 MILLONES PETER J 800 CONNECTICUT AVENUE NORWALK CT 06854 0 1 0 0 Executive VP, General Counsel Stock Options (right to buy) 2004-09-21 4 D 0 16666 A Common Stock 16666 0 D Reflects the cancellation of stock options (8,333 fully vested stock options with an exercise price of $471.75 and 8,333 fully vested stock options with an exercise price of $153.75) pursuant to the mutual agreement of the reporting person and the issuer in accordance with Section 16b-3(e). /s/ Peter J. Millones 2004-09-21 -----END PRIVACY-ENHANCED MESSAGE-----