SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL 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
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
Form 3 Holdings Reported.
X
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
DENTON HERBERT A

(Last) (First) (Middle)
40 EAST 94TH STREET

(Street)
NEW YORK NY 10128

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
POLYMEDICA CORP [ PLMD ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
03/31/2003
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 at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Stock 12/10/2001 J4(1) 1,000 D $18.69 1,000 D
Common Stock 12/10/2001 J4(2) 1,000 A $18.69 1,000 I Providence Capital Inc.
Common Stock 07/10/2002 J4(3) 2,000 D $24.34 1,000 I Providence Investors LLC
Common Stock 07/10/2002 J4(4) 2,000 A $24.34 1,000 I Providence Capital LLC
Common Stock 07/26/2002 J4(5) 400 D $27.9 1,000 I Providence Investors LLC
Common Stock 07/26/2002 J4(6) 400 A $27.9 1,000 I Providence Capital LLC
Common Stock 11/22/2002 S4(7) 1,300 D $29.73 1,000 I Providence Investors LLC
Common Stock 11/22/2002 P4(8) 1,300 D $29.76 1,000 I Providence Capital LLC
Common Stock 01/21/2003 S4(9) 1,300 D $27.36 1,000 I Providence Investors LLC
Common Stock 02/03/2003 S4(10) 3,700 D $30.39 1,000 I Providence Capital LLC
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)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Represents a transfer of shares from Mr. Denton to Providence Capital, Inc.
2. Represents a transfer of shares from Mr. Denton to Providence Capital, Inc.
3. Represents a transfer of 2,000 shares from Providence Investors LLC to Providence Capital LLC.
4. Represents a transfer of 2,000 shares from Providence Investors LLC.
5. Represents a transfer of 400 shares from Providence Investors LLC to Providence Capital LLC.
6. Represents a transfer of 400 shares from Providence Investors LLC.
7. Represents a sale of 1,300 shares by Providence Investors LLC.
8. Represents a purchase of 1,300 shares by Providence Capital LLC.
9. Represents a sale of 1,300 shares to a Providence Investors LLC Investor.
10. Represents a sale of 3,700 shares by Providence Capital LLC.
Remarks:
Herbert A. Denton 07/29/2003
** 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).
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