-----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, PRZmeZwrQ94GbS6WBNxy7PFSsv+lATLuOW3x3AUkFxSsi+z896z1U6nffn4/536s a1LQOZvVtx1TGj0S/ZFfMA== 0000005187-04-000118.txt : 20041019 0000005187-04-000118.hdr.sgml : 20041019 20041019115322 ACCESSION NUMBER: 0000005187-04-000118 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041018 FILED AS OF DATE: 20041019 DATE AS OF CHANGE: 20041019 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: SHIPLEY WALTER V CENTRAL INDEX KEY: 0001189097 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01225 FILM NUMBER: 041084613 BUSINESS ADDRESS: STREET 1: JP MORGN CHASE & CO STREET 2: 270 PARK AVE CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 2122706000 MAIL ADDRESS: STREET 1: JP MORGAN CHASE & CO CITY: NEW YORK STATE: NY ZIP: 10017 4 1 doc4.xml PRIMARY DOCUMENT X0202 4 2004-10-18 0 0000005187 WYETH WYE 0001189097 SHIPLEY WALTER V THE CHASE MANHATTAN CORPORATION 270 PARK AVENUE NEW YORK NY 10017 1 0 0 0 Phantom Stock Units 0 2004-10-18 2004-10-18 4 A 0 423.81 37.21 A Common Stock 423.81 6794.17 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 Walter V. Shipley 2004-10-19 -----END PRIVACY-ENHANCED MESSAGE-----