-----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, UkkuCTlj9Cu/cRcdzrS5I4hcsQNJ6Tfu9fpH+hmgir3vCpESPwXCqGVuQngy7wEg ZHPuB5XrvExXD46Oira1Ww== 0000005187-05-000015.txt : 20050202 0000005187-05-000015.hdr.sgml : 20050202 20050202113029 ACCESSION NUMBER: 0000005187-05-000015 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050127 FILED AS OF DATE: 20050202 DATE AS OF CHANGE: 20050202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Portwood Charles A CENTRAL INDEX KEY: 0001315710 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01225 FILM NUMBER: 05567977 BUSINESS ADDRESS: BUSINESS PHONE: 484-865-5000 MAIL ADDRESS: STREET 1: WYETH PHARMACEUTICALS STREET 2: 500 ARCOLA ROAD CITY: COLLEGEVILLE STATE: PA ZIP: 19426 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 3 1 doc3.xml PRIMARY DOCUMENT X0202 3 2005-01-27 0 0000005187 WYETH WYE 0001315710 Portwood Charles A FIVE GIRALDA FARMS MADISON NJ 07940 0 1 0 0 Wyeth Pharma, Pres TOPS Common Stock 3568.00 D Common Stock (401(k)) 400.66 I 401(k) Employee Stock Option 56.9750 2011-11-15 Common Stock 60000.00 D Employee Stock Option 34.675 2012-10-28 Common Stock 35000.00 D Employee Stock Option 40.22 2014-04-22 Common Stock 63000.00 D Employee Stock Option 41.05 2013-04-24 Common Stock 35000.00 D Employee Stock Option 60.7050 2012-04-25 Common Stock 60000.00 D Phantom Stock Units 0 Common Stock 573.55 I SESP Ten-year option exercisable in one-third increments on the first, second and third anniversaries of the grant date. The Phantom Stock Account of the Wyeth Supplemental Employee Savings Plan is unitized. The value of the account Units is determined by the market value of the underlying phantom shares and a small percentage (usually 3%) is based on the market value of money market instruments. The market value of the phantom stock portion may then be divided by the market price on any given day to determine the number of phantom shares held underlying the Units. Account values are only paid in cash on retirement or other termination of employment. Garrett L. Stackman, Attorney-in-Fact for Charles A. Portwoo 2005-02-02 -----END PRIVACY-ENHANCED MESSAGE-----