-----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, IOHGeuFz30BESIhnymK15bMcA37OjG2lkAGVWFF4dFYn5J1RBstkHfY8aWmSGhmh qm2y+MZPtGklLZH7Tr+7VQ== 0000874733-04-000104.txt : 20040902 0000874733-04-000104.hdr.sgml : 20040902 20040902171953 ACCESSION NUMBER: 0000874733-04-000104 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040901 FILED AS OF DATE: 20040902 DATE AS OF CHANGE: 20040902 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JACKSON DON L CENTRAL INDEX KEY: 0001199393 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10768 FILM NUMBER: 041014648 MAIL ADDRESS: STREET 1: 428 SORTWELL CT CITY: EL DORADO STATE: CA ZIP: 95762 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 WEST 79TH STREET CITY: LENEXA STATE: KS ZIP: 66214 BUSINESS PHONE: 9133071000 MAIL ADDRESS: STREET 1: 11711 WEST 79TH STREET CITY: LENEXA STATE: KS ZIP: 66214 4 1 form4jackson090104.xml PRIMARY DOCUMENT X0202 4 2004-09-01 1 0000874733 MEDIWARE INFORMATION SYSTEMS INC MEDW 0001199393 JACKSON DON L 428 SORTWELL COURT EL DORADO HILLS CA 95762 0 1 0 0 OFFICER COMMON STOCK 2004-09-01 4 P 0 6666 7.325 A 6666 D COMMON STOCK 2004-09-01 4 S 0 6666 10.477 D 0 D STOCK OPTION (RIGHT TO BUY) 7.325 2004-09-01 4 M 0 6666 0 D 2003-08-01 2007-07-31 COMMON STOCK 6666 26668 D Issued pursuant to issuer's option plan. /s/ DON L. JACKSON 2004-09-02 -----END PRIVACY-ENHANCED MESSAGE-----