-----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, GofkNHq/uw33QDc7H5T0JEQyCTAWxrQVah8uGLqKdCmmLHVX9cBdLBcNxabzCvcf bcrHxqBC/6OwrQfasv7M5w== 0001014739-05-000012.txt : 20050121 0001014739-05-000012.hdr.sgml : 20050121 20050121171023 ACCESSION NUMBER: 0001014739-05-000012 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050114 FILED AS OF DATE: 20050121 DATE AS OF CHANGE: 20050121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LUSK JAMES S CENTRAL INDEX KEY: 0001199076 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28740 FILM NUMBER: 05542284 BUSINESS ADDRESS: BUSINESS PHONE: 9144601648 MAIL ADDRESS: STREET 1: C/O MIM CORP STREET 2: 100 CLEARBROOK RD CITY: ELMSFORD STATE: NY ZIP: 10523 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: 914 460 1600 MAIL ADDRESS: STREET 1: 33 NORTH ROAD CITY: PEACE DALE STATE: RI ZIP: 02883 4 1 lus63.xml X0202 4 2005-01-14 1 0001014739 MIM CORP MIMS 0001199076 LUSK JAMES S 100 CLEARBROOK ROAD ELMSFORD NY 10523 0 1 0 0 Chief Financial Officer Common Stock, $.0001 par value 2005-01-14 4 M 0 300 5.61 A 2300.00 D Common Stock, $.0001 par value 2005-01-14 4 S 0 300 6.35 D 2000.00 D Common Stock, $.0001 par value 2005-01-20 4 M 0 400 5.61 A 2400.00 D Common Stock, $.0001 par value 2005-01-20 4 S 0 400 6.25 D 2000.00 D Employee Stock Option (Right to Buy Common Stock) 5.61 2005-01-14 4 M 0 300 0 D 2003-10-15 2012-10-15 Common Stock, $.0001 par value 300.00 119700.00 D Employee Stock Option (Right to Buy Common Stock) 5.61 2005-01-20 4 M 0 400 0 D 2003-10-15 2012-10-15 Common Stock, $.0001 par value 400.00 119300.00 D Employee Stock Option (Right to Buy) 7.95 2004-09-24 2013-09-24 Common Stock, $.0001 par value 75000.00 75000.00 D Vests and becomes exercisable in three equal annual installments commencing on the first anniversary of the date of grant. /s/ Lusk, James S. 2005-01-21 -----END PRIVACY-ENHANCED MESSAGE-----