-----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, PLlv+oBST/swxIyJPDgiLRi2v+snPqTvQZkJi6mgIWJFlYHDKNZhosSOurOOX3YU aBxT/3N/6mu8NsA4Vaqj5Q== 0001209191-04-044248.txt : 20040913 0001209191-04-044248.hdr.sgml : 20040913 20040913162344 ACCESSION NUMBER: 0001209191-04-044248 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040716 FILED AS OF DATE: 20040913 DATE AS OF CHANGE: 20040913 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHACKNAI JONAH CENTRAL INDEX KEY: 0001257575 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14471 FILM NUMBER: 041027755 MAIL ADDRESS: STREET 1: 8125 N MAYDEN 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 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-07-16 0 0000859368 MEDICIS PHARMACEUTICAL CORP MRX 0001257575 SHACKNAI JONAH 8125 N. HAYDEN RD. SCOTTSDALE AZ 85258 1 1 0 0 Chief Executive Officer Class A Common Stock 2004-09-09 4 C 0 758032 A 856060 D Class B Common Stock 2004-09-09 4 C 0 758032 D 0 D Non-Qualified Stock Option (right to buy) 38.45 2004-07-16 4 A 0 93333 0.00 A 2005-07-16 2014-07-16 Class A Common Stock 93333 93333 D Non-Qualified Stock Option (right to buy) 38.45 2004-07-16 4 A 0 93333 0.00 A 2006-07-16 2014-07-16 Class A Common Stock 93333 93333 D Non-Qualified Stock Option (right to buy) 38.45 2004-07-16 4 A 0 93334 0.00 A 2007-07-16 2014-07-16 Class A Common Stock 93334 93334 D There is no conversion or exercise price with regard to the issuer's Class B common stock. The reporting person is converting Class B common stock into Class A common stock. The Class B common stock are convertible at any time into Class A common stock, on a one-for-one basis. /s/ Jonah Shacknai 2004-09-13 -----END PRIVACY-ENHANCED MESSAGE-----