-----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, BK+RUZyPhONy3+r7AN1KPxXb/Bxyf7JkBmM0WX7Mr5GHlftjnwEubd9I9rRUm9aD a12YR+CsNm8lRwgCRJFLuQ== 0000931763-99-000521.txt : 19990218 0000931763-99-000521.hdr.sgml : 19990218 ACCESSION NUMBER: 0000931763-99-000521 CONFORMED SUBMISSION TYPE: 5/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19971231 FILED AS OF DATE: 19990217 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: INFOCURE CORP CENTRAL INDEX KEY: 0001028584 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 582271614 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5/A SEC ACT: SEC FILE NUMBER: 000-25311 FILM NUMBER: 99543600 BUSINESS ADDRESS: STREET 1: 1765 THE EXCHANGE STREET 2: STE 450 CITY: ATLANTA STATE: GA ZIP: 30339 BUSINESS PHONE: 7702219990 MAIL ADDRESS: STREET 1: 2970 CLAIRMONT ROAD STREET 2: SUITE 950 CITY: ATLANTA STATE: GA ZIP: 30329 COMPANY DATA: COMPANY CONFORMED NAME: PRICE JAMES K CENTRAL INDEX KEY: 0000909527 STANDARD INDUSTRIAL CLASSIFICATION: [] DIR & OFCR FILING VALUES: FORM TYPE: 5/A BUSINESS ADDRESS: STREET 1: C/O INFOCURE CORP STREET 2: 1765 THE EXCHANGE #450 CITY: ATLANTA STATE: GA ZIP: 30339 BUSINESS PHONE: 7702219990 MAIL ADDRESS: STREET 1: C/O INFOCURE CORP STREET 2: 1765 THE EXCHANGE #450 CITY: ATLANTA STATE: GA ZIP: 30339 5/A 1 FORM 5/A FOR JAMES PRICE
-------------------------------------- OMB APPROVAL - ------ U.S. SECURITIES AND EXCHANGE COMMISSION OMB Number 3235-0362 FORM 5 Washington, D.C. 20549 Expires: September 30, 1998 - ------ Estimated average burden hours per response........ 1.0 --------------------------------------- [_] Check this box if no longer ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP subject to Section 16. Form 4 or Form 5 obligations may Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section continue. See Instruction 1(b). 17(a) of the Public Utility [_] Form 3 Holdings Reported Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of [_] Form 4 Transactions Reported 1940 (PRINT OR TYPE RESPONSES) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 4. Statement for Month/Year Price James K. - ------------------------------------------------------- ------------------------------------------------------- (Last) (First) (Middle) 5. If Amendment, Date of Original c/o InfoCure Corporation Year Ended 12/31/97 1765 The Exchange, Suite 450 ------------------------------------------------------- - ------------------------------------------------------- 6. Relationship of Reporting Person to Issuer (Street) (Check all applicable) Atlanta Georgia 30339 [X] Director [_] 10% Owner - ------------------------------------------------------- [X] Officer (give title [_] Other (specify (City) (State) (Zip) below) below) - ------------------------------------------------------- Executive Vice President and Secretary 2. Issuer Name and Ticker or Trading Symbol ------------------------------------------------------- 7. Individual or Joint/Group Filing InfoCure Corporation (INCX) (Check Applicable Line) - ------------------------------------------------------- [X] Form filed by One Reporting Person 3. IRS or Social Security Number of Reporting [_] Form filed by More than One Reporting Person Person (Voluntary) ------------------------------------------------------- - ------------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ TABLE I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) Code Amount (A) or (D) Price - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- 5. Amount of Securities Beneficially Owned at End of 6. Ownership Form: Direct (D) or Indirect (I) Issuer's Fiscal Year (Instr. 3 and 4) (Instr. 4) - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- 7. Nature of Indirect Beneficial Ownership (Instr. 4) - ------------------------------------------------------- - ------------------------------------------------------- - ------------------------------------------------------- - ------------------------------------------------------- - ------------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) * If the Form is filed by more than one reporting person, see Instructions 4(b)(v). SEC 2270 (7/96)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security - ------------------------------------------------------- ------------------------------------------------------- Stock Option (Right to Buy) $ 4.13 - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- 3. Transaction Date (Month/Day/Year) 4. Transaction Code (Instr. 8) - ------------------------------------------------------- Code 09/09/97 - ------------------------------------------------------- ------------------------------------------------------- A - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- ------------------------------------------------------- 5. Number of Derivative Securities Acquired (A) or 6. Date Exercisable and Expiration Date Disposed of (D) (Instr. 3, 4 and 5) (Month/Day/Year) (A) (D) Date Exercisable Expiration Date - ------------------------------------------------------- ------------------------------------------------------ 125,000 (1) 09/09/07 - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- 7. Title and Amount of Underlying Securities 8. Price of Derivative Security (Instr. 5) (Instr. 3 and 4) ------------------------------------------------------- Title Amount or Number of Shares - ------------------------------------------------------- ------------------------------------------------------- Common Stock 125,000 - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- 10. Ownership Form of Derivative Security. Direct (D) or Indirect (I) (Instr. 4) 9. Number of Derivative Securities Beneficially Owned at End of Year (Instr. 4) ------------------------------------------------------- D - ------------------------------------------------------- ------------------------------------------------------- 125,000 - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- ------------------------------------------------------- - ------------------------------------------------------- 11. Nature of Indirect Beneficial Ownership (Instr. 4) - ------------------------------------------------------- - ------------------------------------------------------- - ------------------------------------------------------- - ------------------------------------------------------- - ------------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: (1) Amended to correct vesting schedule: as of 9/9/98, exercisable as to 24,212 shares; as of 9/9/99 exercisable as to 48,424 shares; as of 9/9/00, exercisable as to 72,626 shares; as of 9/9/03, exercisable as to 96,848 shares; as of 9/9/02, exercisable as to 121,060 shares; as of 9/9/03, exercisable as to 125,000 shares. **Intentional misstatements or omissions of fact constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 7811(a). Note: File three copies of this Form, one of which must be manually signed. /s/ James K. Price -------------------------------------------------- ** Signature of Reporting Person James K. Price February 15, 1999 -------------------------------------------------- Date
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