-----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, P2+mfjA5DctqJq9THnBO1+4kf89QWtN8wznXqQqkl8q3R7zgkGdBQXF3GrWHby6p g/bulqgLyY9TEFtHsW+SeQ== 0000005187-04-000032.txt : 20040129 0000005187-04-000032.hdr.sgml : 20040129 20040129174909 ACCESSION NUMBER: 0000005187-04-000032 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040127 FILED AS OF DATE: 20040129 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MARTIN KENNETH J CENTRAL INDEX KEY: 0001188540 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01225 FILM NUMBER: 04553644 BUSINESS ADDRESS: STREET 1: C/O GARRETT STACKMAN WYETH STREET 2: 5 FIVE GIRALDA FARMS CITY: MADISON STATE: NJ ZIP: 07940 MAIL ADDRESS: STREET 1: GARRETT STACKMAN WYETH STREET 2: 5 GIRALDA FARMS CITY: MADISON STATE: NJ ZIP: 07940 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: WYETH CENTRAL INDEX KEY: 0000005187 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 132526821 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5 GIRALDA FARMS CITY: MADISON STATE: NJ ZIP: 07940 BUSINESS PHONE: 9736605000 MAIL ADDRESS: STREET 1: 5 GIRALDA FARMS CITY: MADISON STATE: NJ ZIP: 07940 FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN HOME PRODUCTS CORP DATE OF NAME CHANGE: 20020308 FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN HOME PRODUCTS CORP DATE OF NAME CHANGE: 19920703 4 1 doc4.xml PRIMARY DOCUMENT X0201 4 2004-01-27 0 0000005187 WYETH WYE 0001188540 MARTIN KENNETH J FIVE GIRALDA FARMS MADISON NJ 07940 0 1 0 0 Exec VP and CFO Common Stock (Restricted Stock Trust) 2004-01-27 2004-01-27 4 A 0 7100.00 0 A 21417.09 I Restricted Stock Trust Common Stock (Restricted Stock Trust) 2004-01-27 2004-01-27 4 F 0 177.00 41.645 D 21240.09 I Restricted Stock Trust Grant of Restricted Stock pursuant to the Issuer's 1999 Stock Incentive Plan. Includes dividend equivalents credited under the Restricted Stock Trust exempt pursuant to Rule 16a-11. Garrett L. Stackman, Attorney-in-Fact for Kenneth J. Martin 2004-01-29 -----END PRIVACY-ENHANCED MESSAGE-----