-----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, OxOcx8LoySAvJq1wDv8E2iHf9pDl97Z8eaLIBRX/7phYGQrqbkg9I7fHVSKHjBQm oJ7IIzy9Q3dscs/eiPci3A== 0001179110-04-022445.txt : 20041203 0001179110-04-022445.hdr.sgml : 20041203 20041203115148 ACCESSION NUMBER: 0001179110-04-022445 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041201 FILED AS OF DATE: 20041203 DATE AS OF CHANGE: 20041203 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: KELLER BRETT CENTRAL INDEX KEY: 0001214608 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25581 FILM NUMBER: 041182535 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 2004-12-01 0 0001075531 PRICELINE COM INC PCLN 0001214608 KELLER BRETT 800 CONNECTICUT AVENUE NORWALK CT 06854 0 1 0 0 Chief Marketing Officer Common Stock 2004-12-01 4 S 0 5000 D 0 D Stock Options (right to buy) 7.92 2004-12-01 4 M 0 5000 7.92 A 2013-01-23 Common Stock 5000 8888 D On December 1, 2004, 5,000 employee stock options were exercised at an exercise price of $7.92 per share and sold at an average price of $23.89 per share. On January 23, 2003, Mr. Keller was granted stock options to purchase 20,833 shares of common stock, par value $0.008, of priceline.com Incorporated at an exercise price of $7.92 per share. On 12/1/04, 5,786 shares vested and were exercisable and the remaining shares vest and are exercisable pro rata each month thereafter through January 23, 2006. The options expire on January 23, 2013. /s/ Brett Keller 2004-12-02 -----END PRIVACY-ENHANCED MESSAGE-----