X0303 4 2009-08-21 0 0000718130 INTEGRAL SYSTEMS INC /MD/ ISYS 0001201285 CASNER PAUL G JR 5 SYLVAN WAY PARSIPPANY NJ 07054 1 1 0 0 CEO (interim) Integral Systems Common Stock 2009-08-21 4 A 0 1000 6.148 A 1000 D Integral Systems Common Stock 12.155 2006-12-18 4 A 0 10000 0 A 2007-12-18 2011-12-18 Integral Systems Common Stock 10000 10000 D Integral Systems Common Stock 11.63 2007-09-14 4 A 0 30000 0 A 2009-09-14 2012-09-14 Integral Systems Common Stock 30000 40000 D Integral Systems Common Stock 23.03 2008-07-29 4 A 0 3333 0 A 2011-07-29 2018-07-29 Integral Systems Common Stock 3333 43333 D /s/ Paul G. Casner 2009-08-25