X0201 4 2003-11-20 0 0001099531 VANTAGEMED CORP VMDC 0001069438 CHASTAIN R ERNEST 3017 KILGORE ROAD, SUITE 180 RANCHO CORDOVA CA 95670 0 1 0 0 VP Sales Common Stock 2003-11-20 4 P 0 7500 .065 A 7500 D Common Stock 2003-11-21 4 P 0 10000 .65 A 17500 D /s/ R. Ernest Chastain 2003-11-24