-----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, DFfGRPBm+2G5FRRHlybiNE3w//gOPi/v7KH2lrt9ayJChB9HRYnbQbG9I04fdkMc 9PVZ8OSgDFtX8Mlu/BkePg== 0001209191-06-041785.txt : 20060719 0001209191-06-041785.hdr.sgml : 20060719 20060719163733 ACCESSION NUMBER: 0001209191-06-041785 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060717 FILED AS OF DATE: 20060719 DATE AS OF CHANGE: 20060719 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: POLAN MARY LAKE PH D CENTRAL INDEX KEY: 0001187716 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01225 FILM NUMBER: 06969731 MAIL ADDRESS: STREET 1: STANFORD UNIVERSITY SCHOOL OF MEDICINE STREET 2: 300 PASTAUR DR ROOM HH333 CITY: STANFORD STATE: CA ZIP: 94305-5317 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2006-07-17 0 0000005187 WYETH WYE 0001187716 POLAN MARY LAKE PH D STANFORD UNIVERSITY SCHOOL OF MEDICINE 300 PASTEUR DRIVE- ROOM HH333 STANFORD CA 94305-5317 1 0 0 0 Phantom Stock Units 0.00 2006-07-17 4 A 0 497.569 43.842 A Common Stock 497.569 1157.961 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. William M. Haskel, Attorney-in-Fact for Mary Lake Polan 2006-07-19 -----END PRIVACY-ENHANCED MESSAGE-----