-----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, CdlQ2qRDiDjG4sFknT/jaA90+Vso7BsIqmfQyNSJ6rK4m+1V4No8HBPQ948brnag SaMlgMmqtdrTyGDF5rO7/Q== 0000005187-04-000096.txt : 20040622 0000005187-04-000096.hdr.sgml : 20040622 20040622163604 ACCESSION NUMBER: 0000005187-04-000096 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040621 FILED AS OF DATE: 20040622 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ESSNER ROBERT CENTRAL INDEX KEY: 0001187297 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01225 FILM NUMBER: 04875186 BUSINESS ADDRESS: STREET 1: FIVE GIRALDA FARMS CITY: MADISON STATE: NJ ZIP: 07940 BUSINESS PHONE: 9736605835 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 X0202 4 2004-06-21 0 0000005187 WYETH WYE 0001187297 ESSNER ROBERT FIVE GIRALDA FARMS MADISON NJ 07940 1 1 0 0 CEO and Director Common Stock 55534.45 D Common Stock (Jointly w/ Spouse) 16626.46 D Common Stock (Restricted Stock Trust) 2001-06-21 2001-06-21 4 A 0 33624.00 0 A 98708.06 I Restricted Stock Trust Common Stock (Restricted Stock Trust) 2004-06-21 2004-06-21 4 F 0 841.00 36.94 D 97867.06 I Restricted Stock Trust Total includes shares acquired from the reinvestment of dividends under Rule 16a-11. Exempt Grant of Restricted Stock which should have been reported on the Reporting Person's Form 5 for 2001. Restricted Stock was subject to three year cliff vesting and was omitted from Form 5 due to a clerical error. These shares were properly reported in the Summary Compensation Table of Issuer's annual proxy materials for the past three years. Includes dividend equivalents credited under the Restricted Stock Trust exempt pursuant to Rule 16a-11. William M. Haskel, Attorney-in-Fact for Robert Essner 2004-06-22 -----END PRIVACY-ENHANCED MESSAGE-----