-----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, SQnCpVz/PHrqYIQLmtPXvuWEhd17hOiyxv9JV5314JJSLGBFmXSj/nuxa1oT6VVa ecNPUaeXE3++m5HN/vZKaA== 0001017813-05-000066.txt : 20051109 0001017813-05-000066.hdr.sgml : 20051109 20051109170735 ACCESSION NUMBER: 0001017813-05-000066 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051109 FILED AS OF DATE: 20051109 DATE AS OF CHANGE: 20051109 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PATIENT INFOSYSTEMS INC CENTRAL INDEX KEY: 0001017813 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 161476509 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 46 PRINCE ST CITY: ROCHESTER STATE: NY ZIP: 14607 BUSINESS PHONE: 5852427200 MAIL ADDRESS: STREET 1: 46 PRINCE ST CITY: ROCHESTER STATE: NY ZIP: 14607 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ST ANDRE CHRISTINE CENTRAL INDEX KEY: 0001280418 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22319 FILM NUMBER: 051190930 BUSINESS ADDRESS: STREET 1: C/O PATIENT INFOSYSTEMS INC STREET 2: 46 PRINCE ST CITY: ROCHESTER STATE: NY ZIP: 14607 BUSINESS PHONE: 4805132560 MAIL ADDRESS: STREET 1: 9762 E. HIDDEN GREEN DR CITY: SCOTTSDALE STATE: AZ ZIP: 85262-3612 4 1 form4_ex.xml X0202 4 2005-11-09 0 0001017813 PATIENT INFOSYSTEMS INC PATY 0001280418 ST ANDRE CHRISTINE 9762 E. HIDDEN GREEN DR SCOTTSDALE AZ 85262-3612 0 1 0 0 President Common 2005-11-07 4 X 0 12500 2.25 A 12500 D Common 2005-11-07 4 X 0 12500 2.28 A 25000 D Stock Option 2.25 2005-11-07 2005-11-07 4 X 0 12500 2.25 D 2001-01-26 2011-01-26 Common Stock 12500 212500 D Stock Option 2.28 2005-11-07 2005-11-07 4 X 0 12500 2.28 D 2004-09-01 2014-09-01 Common Stock 12500 200000 D Christine St. Andre 2005-11-09 -----END PRIVACY-ENHANCED MESSAGE-----