-----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, QKRhb4O5FiXBq55g6/bUaVVy9Q60GwfsiygKgWl4Acf0Ssq93UxUobXYRBD45iiB HrzQKEj6s4tTm4Gc2BhkuQ== 0001209191-04-036769.txt : 20040721 0001209191-04-036769.hdr.sgml : 20040721 20040721125744 ACCESSION NUMBER: 0001209191-04-036769 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040720 FILED AS OF DATE: 20040721 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FLYNT RICHARD A JR CENTRAL INDEX KEY: 0001297177 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19480 FILM NUMBER: 04923915 BUSINESS ADDRESS: BUSINESS PHONE: (7700 444-5300 MAIL ADDRESS: STREET 1: 2840 STREET 2: MT WILKINSON PARKWAY CITY: ATLANTA STATE: GA ZIP: 30338 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PER SE TECHNOLOGIES INC CENTRAL INDEX KEY: 0000878556 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 581651222 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2840 MT WILKINSON PARKWAY STREET 2: SUITE 300 CITY: ATLANTA STATE: GA ZIP: 30339 BUSINESS PHONE: 7704445300 MAIL ADDRESS: STREET 1: 2700 CUMBERLAND PKWY STREET 2: STE 300 CITY: ATLANTA STATE: GA ZIP: 30339 FORMER COMPANY: FORMER CONFORMED NAME: MEDAPHIS CORP DATE OF NAME CHANGE: 19931027 4 1 boa90040_boa01raf.xml MAIN DOCUMENT DESCRIPTION X0202 4 2004-07-20 0000878556 PER SE TECHNOLOGIES INC PSTI 0001297177 FLYNT RICHARD A JR 2840 MT. WILKINSON PARKWAY ATLANTA GA 30339 0 1 0 0 VP and Corporate Controller Employee Stock Option (right to buy) 14.61 2004-07-20 4 A 0 30000 0 A 2005-07-20 2015-07-20 Common Stock 30000 30000 D Granted pursuant to the Second Amended and Restated Per-Se Technologies, Inc. Non-Qualified Stock Option Plan, as amended (the "Executive Stock Option Plan"). These stock options vest and become exercisable at the rate of one-third per year over a three-year period beginning on the date of grant, and are subject in all respects to the terms and conditions of the Executive Stock Option Plan. /s/ RICHARD A. FLYNT, JR. 2004-07-21 -----END PRIVACY-ENHANCED MESSAGE-----