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4//SEC Filing

HARTSHORN TERRY O 4

Accession 0001249013-03-000024

CIK 0001027974other

View on SEC.gov Company Profile

Filed

Sep 28, 8:00 PM ET

Accepted

Sep 29, 6:52 PM ET

Size

28.7 KB

Accession

0001249013-03-000024

Insider Transaction Report

Form 4

Period: 2003-09-29

PACIFICARE HEALTH SYSTEMS INC /DE/PHS

HARTSHORN TERRY O

Director

Transactions

Exercise/Conversion
Common Stock
2003-09-25$37.75/sh+4,400$166,100→ 41,400 total
Exercise/Conversion
Non-Qualified Stock Option (right to buy)
2003-09-25−4,400→ 100 total
Exercise: $37.75From: 1997-12-31Exp: 2004-01-01→ Common Stock (4,400 underlying)
Exercise/Conversion
Non-Qualified Stock Option (right to buy)
2003-09-25−100→ 0 total
Exercise: $37.75From: 1997-12-31Exp: 2004-01-01→ Common Stock (100 underlying)
Sale
Common Stock
2003-09-25$50.86/sh−300$15,258→ 37,000 total
Exercise/Conversion
Non-Qualified Stock Option (right to buy)
2003-09-25−300→ 7,200 total
Exercise: $37.75From: 1997-12-31Exp: 2004-01-01→ Common Stock (300 underlying)
Sale
Common Stock
2003-09-25$50.84/sh−2,500$127,100→ 37,000 total
Exercise/Conversion
Non-Qualified Stock Option (right to buy)
2003-09-25−2,500→ 7,500 total
Exercise: $37.75From: 1997-12-31Exp: 2004-01-01→ Common Stock (2,500 underlying)
Exercise/Conversion
Common Stock
2003-09-25$37.75/sh+2,500$94,375→ 39,500 total
Exercise/Conversion
Non-Qualified Stock Option (right to buy)
2003-09-25−2,700→ 4,500 total
Exercise: $37.75From: 1997-12-31Exp: 2004-01-01→ Common Stock (2,700 underlying)
Sale
Common Stock
2003-09-25$50.80/sh−4,400$223,520→ 37,000 total
Exercise/Conversion
Common Stock
2003-09-25$37.75/sh+300$11,325→ 37,300 total
Exercise/Conversion
Common Stock
2003-09-25$37.75/sh+100$3,775→ 37,100 total
Exercise/Conversion
Common Stock
2003-09-25$37.75/sh+2,700$101,925→ 39,700 total
Sale
Common Stock
2003-09-25$50.85/sh−2,700$137,295→ 37,000 total
Sale
Common Stock
2003-09-25$50.88/sh−100$5,088→ 37,000 total

Holdings

Common Stock
(indirect: By Trust)
122,732

Footnotes (3)

[F1]Shares of common stock issued in exchange for shares of Class A Common Stock and/or Class B Common Stock upon the combination, conversion and reclassification of PacifiCare's Class A Common Stock and Class B Common Stock into a single class of voting common stock.
[F2]Terry O. Hartshorn & Sharon K. Hartshorn TTEES F/T Hartshorn Trust UDT 3/16/83 .
[F3]Exercise of stock option granted under the 1996 Stock Option Plan for Officers and Key Employees of PacifiCare Health Systems, Inc., as amended in a transaction exempt under Rule 16b-3.

Documents

1 file

4
edgardoc.xmlPrimary
PRIMARY DOCUMENT

Issuer

PACIFICARE HEALTH SYSTEMS INC /DE/

CIK 0001027974

Entity typeother

Related Parties

1

filerCIK 0001209518

Filing Metadata

Form type: 4
Filed: Sep 28, 8:00 PM ET
Accepted: Sep 29, 6:52 PM ET
Size: 28.7 KB

View on SEC.gov