X0201 4 2003-10-03 0 0000851249 FORTUNE DIVERSIFIED INDUSTRIES INC FDVI 0001121307 FORTUNE CARTER M 111 MONUMENT CIRCLE STE 4600 INDIANAPOLIS IN 46204 1 1 1 0 Chief Executive Officer Common Stock 2003-10-01 4 P 0 13100000 0 A 51478247 I See Note (1) Put and Call 0 2003-10-01 4 P 0 2500000 0 A 2003-09-30 2003-10-01 Common 2500000 2500000 D Note (1): As a member of a control group, the Reporting Person (direct holding: 42,013,108 shares) may be deemed to be an indirect beneficial owner of the shares owned by the other members of the control group, John F. Fisbeck (18,087,023 shares), Robert J. Kingston (7,900,000 shares), Norman G. Wolcott, Jr. (7,266,084 shares), Norman G. Wolcott, Jr. and Norman G. Wolcott, Sr., as co-trustees of the Norman G. Wolcott, Sr. and Lucile H. Wolcott Revocable Trust of 1995 (5,125,160 shares), and Harlan M. Schafir (13,100,000 shares). Neither the fact of this filing nor anything contained herein shall be deemed to be an admission that the Reporting Person is, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the beneficial owner of any equity securities covered by this statement. Note (2): Reporting person has certain put and call rights based on an Option Agreement by and between dated October 1, 2003, by and between Harlan M. Schafir, Carter M. Fortune and Robert J. Kingston. The exercise prices of the put and call rights are variable and based upon the combined cumulative EBITDA during the three-year period October l, 2003 to September 30, 2006 of certain subsidiaries of Issuer, namely, Professional Staff Management, Inc., Professional Staff Management, Inc. II and Pro Staff, Inc. Carter M. Fortune 2003-10-03