-----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, WgKrkn8qahblmHObECuo4SMkonkGucnhXt1TGkE5WXGgnmUyIv/u1aiNyJUnhuLT 8R0hhA9iWCOn1SeJPzkyyA== 0001209191-04-040944.txt : 20040816 0001209191-04-040944.hdr.sgml : 20040816 20040816163753 ACCESSION NUMBER: 0001209191-04-040944 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040630 FILED AS OF DATE: 20040816 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WORTZMAN MITCHELL S CENTRAL INDEX KEY: 0001257586 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14471 FILM NUMBER: 04979217 MAIL ADDRESS: STREET 1: 8125 HAYDEN RD STREET 2: C/O MEDICIS CITY: SCOTTSDALE STATE: AZ ZIP: 85258 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MEDICIS PHARMACEUTICAL CORP CENTRAL INDEX KEY: 0000859368 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 521574808 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 8125 NORTH HAYDEN ROAD CITY: SCOTTSDALE STATE: AZ ZIP: 85258 BUSINESS PHONE: 2125992000 MAIL ADDRESS: STREET 1: 8125 NORTH HAYDEN ROAD CITY: SCOTTSDALE STATE: AZ ZIP: 85258 5 1 doc5.xml FORM 5 SUBMISSION X0202 5 2004-06-30 0 0 0 0000859368 MEDICIS PHARMACEUTICAL CORP MRX 0001257586 WORTZMAN MITCHELL S 8125 N. HAYDEN RD. SCOTTSDALE AZ 85258 0 1 0 0 Exec VP, Chief Scientific Offr Class A Common Stock 2001-07-24 5 A 0 20000 0.00 A 40000 D Incentive Stock Option (right to buy) 11.00 2001-07-29 2009-07-29 Class A Common Stock 9100 9100 D Incentive Stock Option (right to buy) 11.92 2003-07-31 2008-07-31 Class A Common Stock 8386 8386 D Incentive Stock Option (right to buy) 18.33 2007-07-11 2012-07-11 Class A Common Stock 5456 5456 D Incentive Stock Option (right to buy) 26.95 2006-07-17 2011-07-17 Class A Common Stock 3710 3710 D Incentive Stock Option (right to buy) 27.63 2005-07-25 2010-07-25 Class A Common Stock 3618 3618 D Incentive Stock Option (right to buy) 29.20 2003-07-31 2013-07-31 Class A Common Stock 3424 3424 D Non-Qualified Stock Option (right to buy) 11.00 2001-07-29 2009-07-29 Class A Common Stock 26900 26900 D Non-Qualified Stock Option (right to buy) 11.92 2001-07-31 2008-07-31 Class A Common Stock 9616 9616 D Non-Qualified Stock Option (right to buy) 18.33 2003-07-11 2012-07-11 Class A Common Stock 57544 57544 D Non-Qualified Stock Option (right to buy) 26.95 2002-07-17 2011-07-17 Class A Common Stock 59290 59290 D Non-Qualified Stock Option (right to buy) 27.63 2001-07-25 2010-07-25 Class A Common Stock 86382 86382 D Non-Qualified Stock Option (right to buy) 29.20 2003-07-31 2013-07-31 Class A Common Stock 59576 59576 D Restricted Stock Award /s/ Mitchell Wortzman, PhD 2004-08-10 -----END PRIVACY-ENHANCED MESSAGE-----