-----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, Q1CURt8QotD19bxLeHSOEH5HQUjsBQq6w+n+duO5lpYl6F9NZhpNAlYsVLRpK0Na 9HPvUDw8fRdj1bZfT+enWg== 0001116502-04-002243.txt : 20040824 0001116502-04-002243.hdr.sgml : 20040824 20040824194502 ACCESSION NUMBER: 0001116502-04-002243 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040820 FILED AS OF DATE: 20040824 DATE AS OF CHANGE: 20040824 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HOLLYWOOD MEDIA CORP CENTRAL INDEX KEY: 0000912544 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-RETAIL STORES, NEC [5990] IRS NUMBER: 650385686 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2255 GLADES RD STREET 2: STE 237 W CITY: BOCA RATON STATE: FL ZIP: 33431 BUSINESS PHONE: 5619988000 MAIL ADDRESS: STREET 1: 2255 GLADES RD STREET 2: STE 237 W CITY: BOCA RATON STATE: FL ZIP: 33431 FORMER COMPANY: FORMER CONFORMED NAME: HOLLYWOOD COM INC DATE OF NAME CHANGE: 20000511 FORMER COMPANY: FORMER CONFORMED NAME: BIG ENTERTAINMENT INC DATE OF NAME CHANGE: 19930924 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SILVERS LAURIE S CENTRAL INDEX KEY: 0001079838 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14332 FILM NUMBER: 04995185 BUSINESS ADDRESS: STREET 1: 2255 GLADES ROAD STREET 2: SUITE 219A CITY: BOCA RATON STATE: FL ZIP: 33431 BUSINESS PHONE: 5619988000 MAIL ADDRESS: STREET 1: 2255 GLADES ROAD STREET 2: SUITE 219A CITY: BOCA RATON STATE: FL ZIP: 33431 4 1 silvers-l_ex.xml X0202 4 2004-08-20 0 0000912544 HOLLYWOOD MEDIA CORP HOLL 0001079838 SILVERS LAURIE S 2255 GLADES ROAD SUITE 221A BOCA RATON FL 33431 1 1 0 0 Vice Chairman and President Common Stock 2004-08-20 4 C 0 163935 3.05 A 883408 D Common Stock 2004-08-20 4 A 0 4257 3.27 A 883408 D Common Stock 2004-08-20 4 A 0 2269 3.30 A 883408 D Common Stock 2004-08-20 4 A 0 2346 3.19 A 883408 D Common Stock 2004-08-20 4 A 0 8023 3.00 A 883408 D Common Stock 2004-08-20 4 A 0 7058 .83 A 883408 D Common Stock 2004-08-20 4 A 0 9718 .79 A 883408 D Common Stock 2004-08-20 4 A 0 6297 1.20 A 883408 D Common Stock 2004-08-20 4 A 0 400000 0 A 883408 D Common Stock 2004-08-20 4 A 0 400000 0 A 546160 I By Spouse Common Stock 2004-04-01 5 G 0 35000 0 D 546160 I By Spouse Common Stock 2004-05-07 5 G 0 150000 0 D 883408 D Common Stock 2004-07-07 5 G 0 150000 0 D 883408 D Common Stock 2004-08-17 5 G 0 239659 0 D 883408 D Common Stock 2004-08-17 5 G 0 60341 0 D 546160 I By Spouse Common Stock 5498 I 401 Plan Common Stock 5498 I 401 Plan By Spouse 6% Convertible Debenture due May 2005 3.05 2004-08-20 4 C 0 500000 500000 D 2002-05-22 2005-05-22 Common stock 163935 0 D A Convertible Debenture was converted into shares of common stock at a $3.05 per share conversion price, which is the same conversion price at which the issuer converted one or more of such Debentures held by non-affiliates. These shares were issued in payment of previously accrued and unpaid interest pursuant to the issuer's Convertible Debentures held by the reporting person (and spouse, see note 5). These shares were priced based on market prices when the interest was accrued, subject to certain limitations under Nasdaq listing rules. In connection with an extension of the Reporting Person's employment agreement, the Reporting Prson received a grant of 400,000 shares of common stock under the Issuer's 2000 Stock Incentive Plan. The shares vest over 4 years at the rate of 25,000 shares (or 6.25%) per calendar quarter, comencing with the first vesting on October 1, 2004, with subsequent vesting each January 1, April 1, July 1, and October 1 until fully vested. In connection with the renewal of his employment agreement, the Reporting Person's spouse received a grant of 400,000 shares of comon stock under the Issuer's 2000 Stock Incentive Plan. The shares vest over 4 years at the rate of 25,000 shares (or 6.25%) per calendar quarter, commencing with the first vesting on October 1, 2004, with subsequent vesting each January 1, April 1, July 1, and October 1 until fully vested. With the exception of 591,609 shares which are owned by the Reporting Person individually (including 5,498 shares in the Issuer's 401 Plan) and 551,658 shares which are owned individually by the Reporting Person's spouse, Mitchell Rubenstein (including 5,498 shares in the Issuer's 401 Plan), all other outstanding shares owned by the Reporting Person are held together with Mitchell Rubenstein, the Reporting Person's spouse, as tenants by the entireties. /s/ Laurie S. Silvers 2004-08-23 -----END PRIVACY-ENHANCED MESSAGE-----