- Statement of Changes in Beneficial Ownership (4)
October 19 2009 - 5:18PM
Edgar (US Regulatory)
FORM 4
[
X
]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public
Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Kelly John C.
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2. Issuer Name
and
Ticker or Trading Symbol
WYETH
[
WYE
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
VP and Controller
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(Last)
(First)
(Middle)
5 GIRALDA FARMS
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3. Date of Earliest Transaction
(MM/DD/YYYY)
10/15/2009
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(Street)
MADISON, NJ 07940
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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10/15/2009
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D
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40359.1745
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D
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(1)
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0
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D
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Common Stock (401(k))
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10/15/2009
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D
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6303.66
(2)
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D
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(3)
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0
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I
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401(k)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Employee Stock Option
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$53.275
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10/15/2009
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D
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80000
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(4)
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(4)
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Common Stock
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80000
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$0.00
(4)
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0
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D
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Employee Stock Option
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$34.675
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10/15/2009
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D
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40000
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(4)
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(4)
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Common Stock
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40000
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$14.905
(4)
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0
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D
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Employee Stock Option
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$41.05
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10/15/2009
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D
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40000
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(4)
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(4)
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Common Stock
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40000
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$8.53
(4)
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0
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D
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Employee Stock Option
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$40.22
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10/15/2009
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D
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72000
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(4)
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(4)
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Common Stock
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72000
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$9.36
(4)
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0
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D
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Employee Stock Option
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$43.57
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10/15/2009
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D
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44500
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(4)
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(4)
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Common Stock
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44500
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$6.01
(4)
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0
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D
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Employee Stock Option
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$48.22
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10/15/2009
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D
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41850
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(4)
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(4)
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Common Stock
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41850
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$1.36
(4)
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0
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D
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Employee Stock Option
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$56.00
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10/15/2009
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D
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37670
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(4)
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(4)
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Common Stock
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37670
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$0.00
(4)
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0
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D
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Employee Stock Option
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$44.56
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10/15/2009
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D
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40000
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(4)
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(4)
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Common Stock
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40000
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$5.02
(4)
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0
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D
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Phantom Stock Units
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(5)
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10/15/2009
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D
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2091.76
(6)
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(5)
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(5)
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Common Stock
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2091.76
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(5)
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0
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I
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SESP
(6)
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Explanation of Responses:
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(
1)
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Pursuant to the Agreement and Plan of Merger by and among Wyeth, Pfizer Inc. and Wagner Acquisition Corp. dated as of January 25, 2009 (as amended, the "Merger Agreement"), each of these shares was cancelled at the effective time of the merger and converted into the right to receive $33.00 in cash and 0.985 of a share of Pfizer Inc. common stock, less any applicable tax withholding. Includes 9,710 restricted stock units that received the above merger consideration deferred into a rabbi trust.
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(
2)
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Represents an estimate of the common stock equivalents underlying the reporting person's holdings of units in the Wyeth common stock fund in the Wyeth 401(k) plan as of a recent date.
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(
3)
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Each share in the Wyeth common stock fund in the Wyeth 401(k) was cancelled at the effective time of the merger and converted into the right to receive $33.00 in cash and 0.985 of a share of Pfizer Inc. common stock.
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(
4)
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Pursuant to the Merger Agreement, each outstanding and unexercised option, whether vested or unvested, was cancelled at the effective time of the merger in exchange for cash equal to the product of (a) the number of shares underlying such option and (b) the excess, if any, of the per share value of the merger consideration of $49.58 over the per share exercise price of the option, less any applicable tax withholding.
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(
5)
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Pursuant to the Merger Agreement, each phantom stock unit in the Supplemental Employee Savings Plan ("SESP") was converted at the effective time of the merger into the the right to receive an amount equal to notional $33.00 in cash plus 0.985 of a phantom share of Pfizer Inc. common stock in accordance with the SESP.
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(
6)
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Represents phantom stock units in the SESP.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Kelly John C.
5 GIRALDA FARMS
MADISON, NJ 07940
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VP and Controller
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Signatures
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Tara J. Gabbai, Attorney-in-Fact for John C. Kelly
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10/19/2009
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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