-----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, LsbGlNojn13VfMMrBdNVB4Y9yjqXny6/W2umVYpNuVXbiqrLezQpjacLqCDMUl8w Gs4+N6gz168txaCOWi/hzA== 0000914475-05-000095.txt : 20051221 0000914475-05-000095.hdr.sgml : 20051221 20051221193109 ACCESSION NUMBER: 0000914475-05-000095 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051219 FILED AS OF DATE: 20051221 DATE AS OF CHANGE: 20051221 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAWRAN PAUL W CENTRAL INDEX KEY: 0001123344 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22705 FILM NUMBER: 051279802 BUSINESS ADDRESS: STREET 1: 10555 SCIENCE CENTER DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: 8586587600 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NEUROCRINE BIOSCIENCES INC CENTRAL INDEX KEY: 0000914475 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 330525145 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 12790 EL CAMINO REAL CITY: SAN DIEGO STATE: CA ZIP: 92130 BUSINESS PHONE: (858) 617-7600 MAIL ADDRESS: STREET 1: 12790 EL CAMINO REAL CITY: SAN DIEGO STATE: CA ZIP: 92130 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2005-12-19 0000914475 NEUROCRINE BIOSCIENCES INC NBIX 0001123344 HAWRAN PAUL W NEUROCRINE BIOSCIENCES, INC. 12790 EL CAMINO REAL SAN DIEGO CA 92130 0 1 0 0 Executive VP and CFO Common Stock 2005-12-19 4 A 0 5647 61.39 A 257481 I By Limited Liability Company Common Stock 2005-12-21 4 S 0 2500 64.358 D 254981 D Common Stock 2005-12-21 4 S 0 2500 64.42 D 252481 D Common Stock 2005-12-21 4 S 0 5000 65.00 D 247481 D Variable prepaid forward contract (put equivalent position) 2005-12-19 4 X 0 39533 D 2003-12-15 2005-12-19 Common Stock 39533 0 I By Trust Reporting person entered into a prepaid forward purchase agreement dated December 15, 2003, pursuant to which, (i) the reporting person delivered to the broker, the shares listed in item 7 as collateral for the reporting person's obligations, (ii) the broker delivered to the reporting person, an agreed percentage of the market value of the shares listed in item 7 as collateral for broker's obligations, and (iii) the reporting person is obligated to deliver to the broker payment in stock or cash pursuant to the following formula: At Maturity (two years from date of transaction) (Payment in Stock or Cash, if available): (1) If NBIX price is < downside protection price: reporting person pays Salomon Smith Barney Number of Shares x NBIX price; (2) if NBIX price is between downside protection price and capped upside protection price: reporting person pays Salomon Smith Barney Number of Shares x downside protection price; 186,337 non-derivative securities are held by the Reporting Person; 61,144 non-derivative securities are held by the PNH Limited Liability Company. Footnote (1) continued: The parties agreed to a maturity date of December 19, 2005. Accordingly on the maturity date the reporting person settled his obligation by delivering 39,533 non-derivative shares and retaining ownership of the remaining 5,647 pledged non-derivative shares. Margaret E. Valeur-Jensen, By Power of Attorney 2005-12-21 -----END PRIVACY-ENHANCED MESSAGE-----