-----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, BUx0SSDHoy1AivyEd14WI6NeQ9vPs7WTjAJ6VROtyJaVXAdbMpQpNcutP+MfztJ2 UmVS6Eufprab2F9IjH/8JQ== 0001019056-02-000711.txt : 20021016 0001019056-02-000711.hdr.sgml : 20021016 20021016103335 ACCESSION NUMBER: 0001019056-02-000711 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021007 FILED AS OF DATE: 20021016 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: MURPHY BRIAN CENTRAL INDEX KEY: 0001195132 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: US CONCEPTS INC STREET 2: 16 W 22ND ST 2ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10010 BUSINESS PHONE: 2123663401 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: COACTIVE MARKETING GROUP INC CENTRAL INDEX KEY: 0000886475 STANDARD INDUSTRIAL CLASSIFICATION: [9995] IRS NUMBER: 061340408 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20394 FILM NUMBER: 02790038 BUSINESS ADDRESS: STREET 1: 415 NORTHERN BLVD CITY: GREAT NECK STATE: NY ZIP: 11021-4812 BUSINESS PHONE: 5164654600 MAIL ADDRESS: STREET 1: 415 NORTHERN BLVD CITY: GREAT NECK STATE: NY ZIP: 11021-4812 FORMER COMPANY: FORMER CONFORMED NAME: HEALTH IMAGE MEDIA INC DATE OF NAME CHANGE: 19930328 FORMER COMPANY: FORMER CONFORMED NAME: INMARK ENTERPRISES INC DATE OF NAME CHANGE: 19951012 4 1 murphy_form4.txt FORM 4
- ------ -------------------------------- FORM 4 OMB APPROVAL - ------ -------------------------------- OMB Number: 3235-0287 [ ] Check this box if no longer Expires: January 31, 2005 subject to Section 16. Form 4 Estimated average burden or Form 5 obligations may hours per response..........0.5 continue. See Instruction 1(b) -------------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 STATEMENT OF CHANGES IN 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(h) of the Investment Company Act of 1940 (Print or Type Responses) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to Issuer (Check all applicable) Murphy Brian CoActive Marketing Group, Inc. (CMKG) - -------------------------------------------------------------------------------------------- (Last) (First) (Middle) 3. IRS Identifi- 4. Statement for Month/Day/Year [X] Director [ ] 10% Owner cation Number [X] Officer [ ] Other of Reporting (give title (specify below) Person, if an below) entity C/O U.S. Concepts, Inc. (voluntary) Chief Executive Officer 16 West 22nd Street July 2002 of Issuer's Subsidiary - --------------------------------------- ------------------------------------------------------------------------ (Street) 5. If Amendment, Date of 7. Individual or Joint/Group Filing Original (Month/Day/Year) (check applicable line) [X] Form Filed by One Reporting Person [ ] Form Filed by More than One New York, NY 10010 Reporting Person - ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip) Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title 2. Trans- 2A.Deemed 3.Trans- 4. Securities Acquired (A) 5. Amount of 6. Ownership Form: 7. Nature of of action Execution action or Disposed of (D) Securities Direct (D) or Indirect Security Date Date,if Code (Instr. 3,4 and 5) Beneficially Indirect (I) Beneficial (Instr.3) any (Instr.8) Owned Following (Instr. 4) Ownership (Month/Day/ Reported (Instr. 4) (Month/ Year) Transaction(s) Day/Year) (Instr. 3 and 4) -------------------------------------------- Code V Amount (A) or (D) Price - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- 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). Potential Persons who respond to the collection of information contained In this form are not required to respond unless the form displays a currently valid OMB control number. (Over) SEC 1474 (9-02)
FORM 4 (continued) Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (E.G., puts, calls, warrants, options, convertible securities) - -------------------------------------------------------------------------------------- 1. Title of 2. Conversion 3. Transaction 3A.Deemed 4. Transaction 5. Number of Derivative or Exercise Date Execution Code Derivative Security Price of (Month/Day/ Date, if (Instr. 8) Securities (Instr. 3) Derivative Year) any Acquired (A) Security (Mo/Dy/Yr) or Disposed of (D) (Instr. 3, 4, and 5) -------------------------------------- Code V (A) (D) - --------------------------------------------------------------------------------------------------- Stock Option $2.50 7/08/02 A V 195,000 (right to buy) - --------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------
FORM 4 (continued) Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (E.G., puts, calls, warrants, options, convertible securities) - ----------------------------------------------------------------------------------------------------------- 6. Date 7. Title and Amount 8. Price of 9. Number of 10. Ownership 11. Nature of Exercisable of Underlying Derivative Derivative Form of Indirect and Expiration Securities Security Securities Derivative Beneficial Date (Instr. 3 and 4) Beneficially Security: Ownership (Month/Day/Year) (Instr. 5) Owned Follow- Direct (D) or (Instr. 4) ing Reported Indirect (I) Transactions(s) (Instr. 4) (Instr. 4) ------------------------------------------ Amount Date Expir- or Exer- ation Number cisable Date Title of Shares - ----------------------------------------------------------------------------------------------------------- (1) 7/08/07 Common 195,000 $0(2) 237,500(3) D Stock - ----------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------- - -----------------------------------------------------------------------------------------------------------
Explanation of Responses: (1) Option are exercisable as to 51,000 shares on December 31, 2002, as to an additional 51,000 shares on December 31, 2003, as to an additional 51,000 shares on December 31, 2004, and as to an additional 42,000 shares on January 1, 2005. (2) Options were issued to Reporting Person under the Issuer's 2002 Long-Term Incentive Plan in connection with the Reporting Person extending the term of his employment agreement with the Issuer. (3) Includes currently exercisable options to purchase 42,500 shares of Common Stock at a price of $2.50 per share which will expire on August 15, 2006. /s/ BRIAN MURPHY October 7, 2002 ------------------------------- ------------------ **Signature of Reporting Person Date Brian Murphy ** 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. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. Page 2
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