-----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, AsXhiXQFFi2c1ty0q9fKSV8yNKu7/kUwSW8AWw+jMd9rvRMOhCP08JPX9Hq4t63L DlBlnuhUB5Vl6lcqGYD2cA== 0001179110-07-004705.txt : 20070226 0001179110-07-004705.hdr.sgml : 20070226 20070226161857 ACCESSION NUMBER: 0001179110-07-004705 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061021 FILED AS OF DATE: 20070226 DATE AS OF CHANGE: 20070226 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WOYS JAMES CENTRAL INDEX KEY: 0001213947 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-12718 FILM NUMBER: 07649473 BUSINESS ADDRESS: BUSINESS PHONE: 8186766000 MAIL ADDRESS: STREET 1: 21650 OXNARD STREET, 22ND FLOOR CITY: WOODLAND HILLS STATE: CA ZIP: 91367 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HEALTH NET INC CENTRAL INDEX KEY: 0000916085 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 954288333 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 21650 OXNARD ST CITY: WOODLAND HILLS STATE: CA ZIP: 91367 BUSINESS PHONE: 8186766000 MAIL ADDRESS: STREET 1: 225 N MAIN ST CITY: PUEBLO STATE: CO ZIP: 81003 FORMER COMPANY: FORMER CONFORMED NAME: FOUNDATION HEALTH SYSTEMS INC DATE OF NAME CHANGE: 19970513 FORMER COMPANY: FORMER CONFORMED NAME: HEALTH SYSTEMS INTERNATIONAL INC DATE OF NAME CHANGE: 19940207 FORMER COMPANY: FORMER CONFORMED NAME: HN MANAGEMENT HOLDINGS INC/DE/ DATE OF NAME CHANGE: 19931213 4/A 1 edgar.xml FORM 4/A - X0202 4/A 2006-10-21 2006-10-23 0 0000916085 HEALTH NET INC HNT 0001213947 WOYS JAMES 21650 OXNARD STREET WOODLAND HILLS CA 91367 0 1 0 0 Pres. Gov't & Specialty Svcs Common Stock 2006-10-21 4 F 0 4534 46.04 D 51060 D Shares forfeited in lieu of payment of tax liability in connection with the vesting a 25,000 share restricted stock grant made to the reporting person on October 21, 2004, of which the remaining 12,500 shares vested on October 21, 2006. The price used to calculate the number of shares forfeited to the Issuer by the Reporting Person was based on the closing price of the Issuer's common stock on October 20, 2006 (the first trading day prior to the vesting date of October 21, 2006 (as required under the Amended and Restated 1997 Stock Option Plan under which such grant was made), as such vesting date was a non-trading day). The Reporting Person reported to the Issuer on October 9, 2006 of his intent to forfeit shares to satisfy payment of the tax liability on the 12,500 vested shares. Includes 5,450 shares in which the Reporting Person has a beneficial ownership interest under the profit sharing component of the Issuer's 401(k) Savings Plan. This reported beneficial ownership number has been amended to reflect the Reporting Person's actual beneficial ownership as of October 26, 2006. The number included in the original Form 4 filing was overstated due to an administrative error. /s/ James E. Woys, Pres. Government & Specialty Services 2007-02-26 -----END PRIVACY-ENHANCED MESSAGE-----