Home/Filings/5/0001236668-04-000002
5//SEC Filing

GOFF SUSAN D 5

Accession 0001236668-04-000002

CIK 0000805037other

Filed

Jan 15, 7:00 PM ET

Accepted

Jan 16, 11:45 AM ET

Size

10.6 KB

Accession

0001236668-04-000002

Insider Transaction Report

Form 5
Period: 2003-12-31
GOFF SUSAN D
Executive Vice President Large
Transactions
  • Award

    Stock Options (Right to buy)

    2003-04-29$41.22/sh+13,500$556,47013,500 total
    Exercise: $41.22From: 2004-06-01Exp: 2008-04-29Common Stock (13,500 underlying)
  • Award

    Stock Options (Right to buy)

    2003-02-12$31.00/sh+13,500$418,50013,500 total
    Exercise: $31.00From: 2004-06-01Exp: 2008-02-12Common Stock (13,500 underlying)
Holdings
  • Common Stock

    7,800
  • Employee purchase plan

    3,031
  • Stock Options (Right to buy)

    Exercise: $17.35From: 2001-02-01Exp: 2006-02-01Common Stock (8,000 underlying)
    8,000
  • Stock Options (Right to buy)

    Exercise: $25.36From: 2003-06-01Exp: 2007-02-01Common Stock (15,000 underlying)
    15,000
  • Stock Options (Right to buy)

    Exercise: $15.55From: 2002-06-01Exp: 2006-05-24Common Stock (5,000 underlying)
    5,000
  • IRA

    4,410
  • 401k

    616
Footnotes (1)
  • [F1]One third vests on 6/1/04, one third on 6/1/05 and one third on 6/1/06

Issuer

MID ATLANTIC MEDICAL SERVICES INC

CIK 0000805037

Entity typeother

Related Parties

1
  • filerCIK 0001236668

Filing Metadata

Form type
5
Filed
Jan 15, 7:00 PM ET
Accepted
Jan 16, 11:45 AM ET
Size
10.6 KB