-----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, C6jnFJxLAFDCULts4SvyszystrUGXln3VuxK/T8toQ9PtolLppsZcYQwsnCjEKfK wN1hutpY6iYxiueG/s6pLA== 0001179110-09-013514.txt : 20090922 0001179110-09-013514.hdr.sgml : 20090922 20090922173552 ACCESSION NUMBER: 0001179110-09-013514 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090825 FILED AS OF DATE: 20090922 DATE AS OF CHANGE: 20090922 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PRICELINE COM INC CENTRAL INDEX KEY: 0001075531 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 061528493 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 800 CONNECTICUT AVE CITY: NORWALK STATE: CT ZIP: 06854 BUSINESS PHONE: 2037053000 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PERETSMAN NANCY B CENTRAL INDEX KEY: 0001168691 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25581 FILM NUMBER: 091081397 MAIL ADDRESS: STREET 1: ALLEN & CO STREET 2: 711 FIFTH AVE 9TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10021 4 1 edgar.xml FORM 4 - X0303 4 2009-08-25 0 0001075531 PRICELINE COM INC PCLN 0001168691 PERETSMAN NANCY B 800 CONNECTICUT AVENUE NORWALK CT 06854 1 0 0 0 Common Stock 2009-08-25 4 G 0 3000 0 D 90621 I See Footnote Common Stock 5523 D Restricted Common Stock 1500 D Restricted Stock Units 1978 D On August 25,2009, The Scully Peretsman Foundation made a charitable gift of 3,000 shares of priceline.com Incorporated common stock, par value $0.008 per share. Represents (a) 1,301 shares held in custodial accounts for the benefit of certain members of Ms. Peretsman's family; and (b) 89,320 shares held by The Scully Peretsman Foundation, for which Ms. Peretsman disclaims beneficial ownership of the shares in (a) and (b). Includes, among other things, 215 shares of priceline.com common stock, the receipt of which have been deferred by Ms. Peretsman. /s/ Nancy B. Peretsman 2009-08-25 -----END PRIVACY-ENHANCED MESSAGE-----