-----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, BL6CrRJftls3XDPzTegCfkqHUxWC8UEPxeWnMmXNsVFZYu44sFmY4C4hNo/OA5wr lQPc9+dJkm2lqCm+bVERnw== 0001209191-05-021827.txt : 20050422 0001209191-05-021827.hdr.sgml : 20050422 20050422162801 ACCESSION NUMBER: 0001209191-05-021827 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050421 FILED AS OF DATE: 20050422 DATE AS OF CHANGE: 20050422 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: MARTIN KENNETH J CENTRAL INDEX KEY: 0001188540 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01225 FILM NUMBER: 05767779 BUSINESS ADDRESS: STREET 1: C/O GARRETT STACKMAN WYETH STREET 2: 5 FIVE GIRALDA FARMS CITY: MADISON STATE: NJ ZIP: 07940 MAIL ADDRESS: STREET 1: GARRETT STACKMAN WYETH STREET 2: 5 GIRALDA FARMS CITY: MADISON STATE: NJ ZIP: 07940 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2005-04-21 0 0000005187 WYETH WYE 0001188540 MARTIN KENNETH J 5 GIRALDA FARMS MADISON NJ 07940 0 1 0 0 Exec. VP and CEO Employee Stock Option 43.57 2005-04-21 2005-04-21 4 A 0 138000 43.57 A 2015-04-21 Common Stock 138000 138000 D Ten-year option exercisable in one-third increments on the first, second and third anniversaries of the grant date. Garrett L. Stackman, as Attorney-in-Fact for Kenneth J. Martin 2005-04-22 -----END PRIVACY-ENHANCED MESSAGE-----