-----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, WvPGIC2A0dxbg+gow6EIP1Kg2waELeJFPd5QmSUqhtSWprRKF+EBqMI0R7s5RbbG wS2Rh+m8W+G1SpGQnJbJhQ== 0001123344-03-000007.txt : 20031217 0001123344-03-000007.hdr.sgml : 20031217 20031217192705 ACCESSION NUMBER: 0001123344-03-000007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031215 FILED AS OF DATE: 20031217 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: 031060985 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: 10555 SCIENCE CENTER DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: 8586587600 MAIL ADDRESS: STREET 1: 10555 SCIENCE CENTER DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92121 4 1 edgar.xml PRIMARY DOCUMENT X0201 42003-12-15 0000914475 NEUROCRINE BIOSCIENCES INC NBIX 0001123344 HAWRAN PAUL W 10555 SCIENCE CENTER DRIVE SAN DIEGO CA 92121 0100Executive VP and CFOForward Sale (Put Option)54.602003-12-154J11800A2003-12-152003-12-19Common Stock18001800IBy Limited Liability Company Forward Sale (Put Option)54.022003-12-174J143200A2003-12-172003-12-19Common Stock4320043200IBy Limited Liability Company On December 15, 2003, reporting person entered into a prepaid forward purchas e agreement 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; Shares held by PNH Limited Liability Company.Footnote (1) continued: (3) If NBIX price is > capped upside protection price: reporting person pays Salomon Smith Barney Number of Shares x the agreed downside protection price divided by the capped upside protection price, and (iv) reporting person has an agreed participation above the capped upside protection price.Margaret E. Valeur-Jensen, By Power of Attorney2003-12-17 -----END PRIVACY-ENHANCED MESSAGE-----