SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Adelson Scott Joseph

(Last) (First) (Middle)
1930 CENTURY PARK WEST

(Street)
LOS ANGELES CA 90067

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
QAD INC [ QADA, QADB ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
12/15/2010
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock ($0.001 par value) 12/15/2010 J(1) V 32,725 D $0 0 D
Class B Common Stock ($0.001 par value) 12/15/2010 J(1) V 3,272 A $0 3,272 D
Class A Common Stock ($0.001 par value) 12/15/2010 J(2) V 13,090 A $0 13,090 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Non-Qualified Stock Option (right to buy) $7.6 12/15/2010 D(3)(4) 30,000 04/13/2007 04/13/2014 Common Stock 30,000 $0 0 D
Non-Qualified Stock Option (right to buy) $15.2 12/15/2010 A(3)(4) 3,000 04/13/2007 04/13/2014 Class B Common Stock 3,000 $0 3,000 D
Non-Qualified Stock Option (right to buy) $15.2 12/15/2010 A(3)(4) 12,000 04/13/2007 04/13/2014 Class A Common Stock 12,000 $0 12,000 D
Explanation of Responses:
1. Pursuant to a reclassification exempt under Rule 16b-7, each share of Common Stock ($0.001 par value) was reclassified into 0.1 of a share of Class B Common Stock ($0.001 par value) (the "Reclassification").
2. QAD declared a dividend of four shares of Class A Common Stock ($0.001 par value) for each share of Class B Common Stock outstanding as of December 15, 2010 (the "Dividend") which is exempt from the reporting requirements of Section 16 pursuant to Rule 16a-9(a).
3. As a result of the Reclassification and the Dividend (i) each QAD Non-Qualified Stock Option outstanding on December 15, 2010 was automatically converted into two separate options, one with respect to a number of shares of Class B Common Stock equal to 0.1 times the number of existing Common Stock subject to such option, and one with respect to a number of shares of Class A Common Stock equal to 4.0 times the number of shares of Class B Common Stock subject to such new option, and (ii) the applicable exercise price per share of each option shall be twice the exercise price for the existing Common Stock. Amendment of outstanding options is deemed cancellation of existing option and grant of replacement option.
4. The option was originally granted on April 13, 2006 and provides for vesting in three equal annual installments commencing on April 13, 2007.
Remarks:
Betty Weinert, attorney in fact for Scott Adelson 02/15/2011
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.