-----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, FaS8ghg8XSDym89yOlrXyqofTCLnx92frWIFOQ5VHsR4BJezb8RkSWw+sZ5R14Sw vfe757TZ1sEkC7qMG1arUg== 0000005187-04-000077.txt : 20040423 0000005187-04-000077.hdr.sgml : 20040423 20040423161919 ACCESSION NUMBER: 0000005187-04-000077 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040422 FILED AS OF DATE: 20040423 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POUSSOT BERNARD J CENTRAL INDEX KEY: 0001188319 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01225 FILM NUMBER: 04751340 BUSINESS ADDRESS: STREET 1: WYETH PHARMACEUTICALS STREET 2: 555 E LANCASTER AVE CITY: ST DAVIDS STATE: PA ZIP: 19087 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 2004-04-22 0 0000005187 WYETH WYE 0001188319 POUSSOT BERNARD J FIVE GIRALDA FARMS MADISON NJ 07940 0 1 0 0 Executive VP Employee Stock Option 40.22 2004-04-22 2004-04-22 4 A 0 154000.00 0 A 2014-04-22 Common Stock 154000.00 154000.00 D Ten-year option exercisable in one-third increments on the first, second and third anniversaries of the grant date. Garrett L. Stackman, Attorney-in-Fact for Bernard Poussot 2004-04-23 -----END PRIVACY-ENHANCED MESSAGE-----