-----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, NLYHa9rS0KLoNJBip6zMlnYxAC9BC0dkgeqGN+kRrQQtCL3NuBwGrPrw2WIqFI1r Tug9Hi1cJg5iMh8qzj08FA== 0000005187-04-000125.txt : 20041119 0000005187-04-000125.hdr.sgml : 20041119 20041119161708 ACCESSION NUMBER: 0000005187-04-000125 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041117 FILED AS OF DATE: 20041119 DATE AS OF CHANGE: 20041119 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RUFFOLO ROBERT R CENTRAL INDEX KEY: 0001187308 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01225 FILM NUMBER: 041158128 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 2004-11-17 0 0000005187 WYETH WYE 0001187308 RUFFOLO ROBERT R FIVE GIRALDA FARMS MADISON NJ 07940 0 1 0 0 Senior VP Wyeth Research Common Stock 2001-11-19 2001-11-19 4 F 0 2382.00 57.725 D 17344.00 D Common Stock 2002-11-18 2002-11-18 4 F 0 2344.00 35.875 D 15000.00 D Common Stock 2003-11-17 2003-11-17 4 F 0 2194.00 39.70 D 12806.00 D Common Stock 2004-11-17 2004-11-17 4 F 1 175.00 40.535 D 12631.00 D Common Stock 2004-11-17 2004-11-17 4 A 0 30000.00 0 A 42631.00 D Surrender of shares necessary to satisfy tax withholding upon vesting of each of four annual installments under a restricted stoc k award made in January 2001 as previously reported on the Reporting Person's June 21, 2001 Form 3. Represents restricted stock which will fully vest on the third anniversary of the date of grant subject to continuous employment. Garrett L. Stackman, Attorney-in-Fact for Robert R. Ruffolo 2004-11-19 -----END PRIVACY-ENHANCED MESSAGE-----