PACIFICARE HEALTH SYSTEMS INC /DE/·4

Jan 5, 8:16 PM ET

BOWLUS BRADFORD A 4

4 · PACIFICARE HEALTH SYSTEMS INC /DE/ · Filed Jan 5, 2005

Insider Transaction Report

Form 4
Period: 2005-01-03
BOWLUS BRADFORD A
Pres & CEO, Health Plan Div
Transactions
  • Other

    Common Stock

    2005-01-0311,0486,189.98 total
  • Exercise/Conversion

    Common Stock

    2005-01-03$56.52/sh+68,250$3,857,49068,250 total(indirect: By Trust)
  • Tax Payment

    Common Stock

    2005-01-03$56.52/sh28,465$1,608,84239,785 total(indirect: By Trust)
  • Exercise/Conversion

    Common Stock Units

    2005-01-0368,2500 total
    From: 2005-01-03Common Stock (68,250 underlying)
Holdings
  • Common Stock

    (indirect: By 401(k))
    719
Footnotes (3)
  • [F1]These shares are held by the Bradford Bowlus Leslie Bowlus TTE U/A/D 9/24/99 FBO THE Bowlus Family Trust. On prior reports, these shares were reported as being beneficially owned directly by the reporting person.
  • [F2]Represents the conversion of Common Stock Units accrued under the Issuer's Stock Unit Deferred Compensation Plan into an equal number of shares of Common Stock in a transaction exempt from Section 16(b) by virtue of Rule 16b-6(b).
  • [F3]Bradford Bowlus Leslie Bowlus TTEE U/A/D 09/24/99 FBO The Bowlus Family Trust

Documents

1 file
  • 4
    edgardoc.xmlPrimary

    PRIMARY DOCUMENT