-----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, Q9bph/g1sSv3ANa9puvywI1HmXo5JJMAwtW0//WVOCz+rjvRu4SSwGiy8o5yix7i BKIvbh1I6gnTFzKQSW6SLw== 0000005187-04-000116.txt : 20041019 0000005187-04-000116.hdr.sgml : 20041019 20041019114839 ACCESSION NUMBER: 0000005187-04-000116 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041018 FILED AS OF DATE: 20041019 DATE AS OF CHANGE: 20041019 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FEERICK JOHN D CENTRAL INDEX KEY: 0001190323 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01225 FILM NUMBER: 041084604 BUSINESS ADDRESS: STREET 1: FORRHEM UNIVERSITY SCHOOL OF LAW STREET 2: 140 WEST 62ND STREET CITY: NEW YORK STATE: NY ZIP: 10023 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 2004-10-18 0 0000005187 WYETH WYE 0001190323 FEERICK JOHN D 6 OVERLOOK TERRACE LARCHMONT NY 10538 1 0 0 0 Phantom Stock Units 0 2004-10-18 2004-10-18 4 A 0 307.42 37.21 A Common Stock 307.42 6234.30 D These units are allocated under the Wyeth Directors' Deferral Plan to the Reporting Person's deferred account on a quarterly basis upon the deferral of cash compensation due to the Reporting Person from the Issuer with interest accruing on amounts deferred until the next quarterly allocation date. These units are payable only in cash and only upon termination of service as a director. There is no fixed expiration date for this security. Garrett L. Stackman, Attorney-in-Fact for John D. Feerick 2004-10-19 -----END PRIVACY-ENHANCED MESSAGE-----