4 1 form4rc1102.htm Form 4

Form 4

__  Check box if no longer subject to 
      Section 16. Form 4 or Form 5 obligations
      may continue. See Instruction 1b).


UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549


STATEMENT OF CHANGES BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940

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1.  Name and Address of Reporting Person*

      Clark            Roger                 E.

2.  Issuer Name and Ticker or Trading Symbol

    Mediware Information Systems, Inc.     MEDW

6.  Relationship of Reporting  Person(s) to Issuer

                           (Check all applicable)

  X    Director                                          10% Owner
        Officer (give title below)                Other (specify below)
        V.P. & GM of Pharmacy Division
                                                

(Last)                    (First)                 (Middle)

      330 Elm Street, Unit 1

3.  I.R.S. Identification Number of
     Reporting Person, if an Entity
     (Voluntary)

 

4.  Statement for Month/Year

    11/02

(Street)

      New Canaan    CT                06840

5.  If Amendment, Date of Original
    (Month/Year)

 

7.  Individual or Joint/Group Reporting
            (Check applicable line)
  X  
  Form Filed by One Reporting Person
        Form Filed by More than One Reporting Person

(City)                      (State)                       (Zip)


Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security
    (Instr. 3)

2. Transaction
    Date
 (Month/Day/Year)

3. Transaction
    Code
   (Instr. 8)

4. Securities  Acquired (A) or
    Disposed of (D)  (Instr. 3, 4 and 5)

5. Amount of Securities
    Beneficially Owned at
    End of Month
    
    (Instr. 3 and 4)

6. Ownership
    Form:Direct (D)
    or Indirect (I)
    (Instr. 4)

7.  Nature of
     Indirect
     Beneficial 
     Ownership
     (Instr. 4)

Amount

(A) or (D)

Price

  Common Stock, par value $ .10

 11/20/02

 G   300   D   N/A   17,652  D   N/A
  

 

             100  I   (1)
  

 

                  

  

Reminder:  Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see instruction 4(b)(v).

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts calls warrants options, convertible securities)

1. Title of
    Derivative
    Security
    (Instr. 3)

2 .Conversion
    or Exercise
    Price of
    Derivative
    Security

3. Trans-
    action
    Code
    (Month/
    Day/
    Year)

4. Trans-
    action
    Code
    (Instr. 8)

5. Number of Derivative
    Securities Acquired
    (A) or Disposed
    of (D)
    (Instr. 3, 4 and 5)

6. Date Exercisable
    and Expiration Date
    (Month/Day/Year)

7. Title and Amount of
    Underlying Securities
    (Instr. 3 and 4)

8 .Price of
    Deriva-
    tive
    Security
    (Instr. 5)

9. Number
    of Deriva-
    tiive
    Securities
    Bene-
    ficially
    Owned at
    End of 
    Month
    (Instr. 4)

10.Owner-
     ship of 
     Deriva-
     tive
     Security:
     Direct
     (D) or
     Indirect
     (I)
     (Instr. 4)

11.Nature 
    of
    Indirect  
    Bene-
    ficial
    Owner-
    ship
    (Instr. 4)

(A)

(D)

Date Exercisable

Expiration Date

Title

Amount or Number
 of Shares

  Stock Option (Right to Buy)

  $1.00

  

  

  

  

 (2)

  6/30/03

  Common Stock

  1,667

  

 1,667

 D

  N/A

  Stock Option (Right to Buy)

  $3.625

  

  

  

  

 (2)

  6/30/04

  Common Stock

  1,667

  

 1,667

 D

  N/A

  Stock Option (Right to Buy)

  $11.1875

  

  

  

  

 (2)

  6/30/05

  Common Stock

  3,600

  

 3,600

 D

  N/A

  Stock Option (Right to Buy)

  $7.625

  

  

  

  

 (2)

  6/30/06

  Common Stock

  3,600

  

 3,600

 D

  N/A

  Stock Option (Right to Buy)

  $7.13 

  

  

  

  

 (2)

  6/30/07

  Common Stock

  3,600

  

 3,600

 D

  N/A

  Stock Option (Right to Buy)

  $6.313

  

  

  

  

 (2)

  6/30/08

  Common Stock

  3,600

  

 3,600

 D

  N/A

  Stock Option (Right to Buy) 

  $3.00

  

  

  

  

 (3)

  8/30/11

  Common Stock

  8,500

  

 8,500

 D

  N/A

  Stock Option (Right to Buy)

  $8.10

  7/1/02

  A

  8,500

  

 (4)

  7/1/10

  Common Stock

  8,500

  

 8,500

 D

  N/A

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

Explanation of Responses:
   (1)  100 Shares held of record by Alexander Clark.
   (2)  Presently exercisable, options vest ratably over balance of fiscal year in which granted.
   (3)  Board compensation for 7/1/01 through 6/30/02.  Vested 50% on February 28, 2002, and August 30, 2002.
   (4)  Board compensation for 7/1/02 through 6/30/03.  Vesting 50% on January 1, 2003, and July 1, 2003.

                 ROGER E. CLARK               
  ROGER E. CLARK
**Signature of Reporting Person

          12/2/02          
Date

 

**

Intentional misstatements or omissions of facts constitute Federal Criminal Violations.  See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note:

File three copies of this Form, one of which must be manually signed.  If space provided is insufficient, see Instruction 6 for procedure.