-----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, NqzCHIwVAiw6o9Pf/kKXTKN8GROfmSOX3gaLz5sHCtoGJxB7GUe1MYIt2GpUXUz6 qINHjBqWb5t6Ds6V2aJuew== 0000005187-04-000084.txt : 20040423 0000005187-04-000084.hdr.sgml : 20040423 20040423165247 ACCESSION NUMBER: 0000005187-04-000084 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040422 FILED AS OF DATE: 20040423 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MASCOTTE JOHN P CENTRAL INDEX KEY: 0001113681 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01225 FILM NUMBER: 04751619 BUSINESS ADDRESS: STREET 1: P O BOX 1184 CITY: ASPEN STATE: CO ZIP: 81612 BUSINESS PHONE: 9135771951 MAIL ADDRESS: STREET 1: C/O CROWN MEDIA HOLDINGS INC STREET 2: SUITE 500 6430 S FIDDLERS GREEN CIRCLE CITY: ENGLEWOOD STATE: CO ZIP: 80111 4 1 doc4.xml PRIMARY DOCUMENT X0201 4 2004-04-22 0 0000005187 WYETH WYE 0001113681 MASCOTTE JOHN P 1130 BLACK BIRCH DRIVE ASPEN CO 81611 1 0 0 0 Non-Employee Director Stock Option 40.22 2004-04-22 2004-04-22 4 A 0 4000.00 0 A 2014-04-22 Common Stock 4000.00 4000.00 D Options become exercisable on the date of the 2005 Annual Meeting of Stockholders. Garrett L. Stackman, Attorney-in-Fact for John P. Mascotte 2004-04-23 -----END PRIVACY-ENHANCED MESSAGE-----