-----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, EKfALaJYsDGB5x/Rz4xBA3Cmw4SqQfVRprVRDO1tAVMsEy2l38mxD0kjcMpC/neW H5Om3hXBhkKdoKoHNSqomg== 0000874733-04-000047.txt : 20040525 0000874733-04-000047.hdr.sgml : 20040525 20040525180513 ACCESSION NUMBER: 0000874733-04-000047 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040524 FILED AS OF DATE: 20040525 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHURCHILL JONATHAN H CENTRAL INDEX KEY: 0001182010 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10768 FILM NUMBER: 04830780 BUSINESS ADDRESS: STREET 1: 169 EAST 78TH ST CITY: NEW YORK STATE: NY ZIP: 10021 BUSINESS PHONE: 2127727811 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MEDIWARE INFORMATION SYSTEMS INC CENTRAL INDEX KEY: 0000874733 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] IRS NUMBER: 112209324 STATE OF INCORPORATION: NY FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 11711 W 79TH STREET CITY: LENEXA STATE: KS ZIP: 11747 BUSINESS PHONE: 5164237800 MAIL ADDRESS: STREET 1: 1121 OLD WALT WHITMAN RD CITY: MELVILLE STATE: NY ZIP: 11747-3005 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-05-24 0 0000874733 MEDIWARE INFORMATION SYSTEMS INC MEDW 0001182010 CHURCHILL JONATHAN H 169 EAST 78TH STREET PENTHOUSE B NEW YORK NY 10021 1 0 0 0 Common Stock, Par Value $ .10 2004-05-24 4 P 0 1667 3.625 A 66004 D Stock Option (Right to Buy) 3.625 2004-05-24 4 M 0 1667 0 D 2004-06-30 Common Stock 1667 0 D Presently exercisable, options vested ratably over balance of fiscal year in which granted. Issued pursuant to issuer's option plan. /s/ Jill H. Suppes, Attorney-in-Fact 2004-05-25 -----END PRIVACY-ENHANCED MESSAGE-----