-----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, F02N6ezgVR5AHqHOtYoc1k1CbZ6Rzk1hXRFPS13Xoa+UmKV+3CLfjcMteKDcOZ5u nYgzLRYVNspNW4VwukAM7w== 0001014739-03-000039.txt : 20030609 0001014739-03-000039.hdr.sgml : 20030609 20030609121345 ACCESSION NUMBER: 0001014739-03-000039 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030605 FILED AS OF DATE: 20030609 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FORD HAROLD CENTRAL INDEX KEY: 0001176975 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28740 FILM NUMBER: 03736969 BUSINESS ADDRESS: STREET 1: 7966 FISHER ISLAND DRIVE CITY: MIAMI STATE: FL ZIP: 33109 BUSINESS PHONE: 3053729889 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MIM CORP CENTRAL INDEX KEY: 0001014739 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 050489664 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 CLEARBROOK RD CITY: ELMSFORD STATE: NY ZIP: 10523 BUSINESS PHONE: 9147353555 MAIL ADDRESS: STREET 1: 25 NORTH ROAD CITY: PEACE DALE STATE: RI ZIP: 02883 4 1 for23.xml X0101 4 2003-06-05 0 0001014739 MIM CORP MIMS 0001176975 FORD HAROLD 1 0 0 0 Option to Purchase Common Stock 6.5800 2003-06-05 4 A 0 5000 0 A 2004-06-05 2013-06-05 Common Stock, $.0001 par value 5000 5000 D Vests and becomes exercisable in three equal annual installments commencing on the first anniversary of the date of grant. /s/ Ford, Harold 2003-06-09 -----END PRIVACY-ENHANCED MESSAGE-----