-----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, MAmovTY4tZtThRVCAZplFXMGMAyQQWROKvhy6rVDGjcQ6QAUPX7J0vqZjUFPgcvZ 5WwBouN/uIf0K2QsoM8ghg== 0001054833-04-000147.txt : 20041115 0001054833-04-000147.hdr.sgml : 20041115 20041115143008 ACCESSION NUMBER: 0001054833-04-000147 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041112 FILED AS OF DATE: 20041115 DATE AS OF CHANGE: 20041115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WEGLICKI TIMOTHY T CENTRAL INDEX KEY: 0001207702 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16477 FILM NUMBER: 041144098 BUSINESS ADDRESS: STREET 1: 400 EAST PRATT STREET CITY: BALTIMORE STATE: MD ZIP: 21202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: COVENTRY HEALTH CARE INC CENTRAL INDEX KEY: 0001054833 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 522073000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6705 ROCKLEDGE DRIVE STREET 2: SUITE 900 CITY: BETHESDA STATE: MD ZIP: 20817 BUSINESS PHONE: 3015810600 MAIL ADDRESS: STREET 1: 6705 ROCKLEDGE DRIVE STREET 2: SUITE 900 CITY: BETHESDA STATE: MD ZIP: 20817 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-11-12 0 0001054833 COVENTRY HEALTH CARE INC CVH 0001207702 WEGLICKI TIMOTHY T ABS CAPITAL PARTNERS 400 EAST PRATT ST., #910 BALTIMORE MD 21202 1 0 0 0 Common Stock 2004-11-12 4 G 0 1500 0 D 29850 D Includes the following: Table I- Non-Derivative Securities comprised of 7,500 shares held outright, 2,250 shares held indirectly by a relative, 8,550 shares held outright as awards of restricted common stock vesting over 3 and 4 year periods; Table II- Derivative Securities comprised of stock options representing 11,550 shares of common stock granted at various times and vesting schedules, held directly. See Footnote #1 for shares held directly and indirectly. /s/ Timothy T. Weglicki 2004-11-12 -----END PRIVACY-ENHANCED MESSAGE-----