SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Blough Gary R

(Last) (First) (Middle)
7601 INTERACTIVE WAY

(Street)
INDIANAPOLIS IN 46278

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/01/2004
3. Issuer Name and Ticker or Trading Symbol
INTERACTIVE INTELLIGENCE INC [ ININ ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Executive VP of Worldwide Sale
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 31,000 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (right to buy) (1) 04/18/2007 Common Stock 45,000 $0.8666 D
Stock Option (right to buy) (2) 11/28/2007 Common Stock 7,500 $0.8666 D
Stock Option (right to buy) (3) 08/31/2008 Common Stock 7,500 $3 D
Stock Option (right to buy) (4) 12/26/2011 Common Stock 3 $5.99 D
Stock Option (right to buy) (5) 12/26/2011 Common Stock 24,997 $5.99 D
Stock Option (right to buy) (6) 06/10/2012 Common Stock 4,000 $3.09 D
Stock Option (right to buy) (7) 04/03/2013 Common Stock 2,501 $3.15 D
Stock Option (right to buy) (8) 04/03/2013 Common Stock 2,499 $3.15 D
Explanation of Responses:
1. Option became exercisable 33 1/3% on 2/17/2000, 33 1/3% on 2/17/2001 and 33 1/3% on 2/17/2002.
2. Option became exercisable 20% on 11/28/1998, 20% on 11/28/1999, 20% on 11/28/2000, 20% on 11/28/2001 and 20% on 11/28/2002.
3. Option became exercisable 20% on 8/31/1999, 20% on 8/31/2000, 20% on 8/31/2001, 20% on 8/31/2002 and 20% on 8/31/2003.
4. Option became exercisable 33 1/3% on 12/26/2002 and 66 2/3% on 12/26/2003.
5. Option becomes exercisable 25% on 12/26/2002, 25% on 12/26/2003, 25% on 12/26/2004 and 25% on 12/26/2005.
6. Option became exercisable in nine equal monthly installments beginning April 1, 2003.
7. Option becomes exercisable 50% on 4/3/2006 and 50% on 4/3/2007.
8. Option becomes exercisable 50% on 4/3/2004 and 50% on 4/3/2005
Remarks:
Ashley Vukovits Attorney-in-fact 08/18/2004
** 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 5 (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.