-----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, B8bLFZ5fpCuR4F5vDvP5jhZLxR7jnqyxCIoCGoUoJdHZT1u0oxaDgAvyyxNpUBN9 IOj16NFzt+g0BxKB7kXvsw== 0001209191-06-059396.txt : 20061114 0001209191-06-059396.hdr.sgml : 20061114 20061114182137 ACCESSION NUMBER: 0001209191-06-059396 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061110 FILED AS OF DATE: 20061114 DATE AS OF CHANGE: 20061114 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DATATRAK INTERNATIONAL INC CENTRAL INDEX KEY: 0000886530 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 341685364 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6150 PARKLAND BLVD STREET 2: SUITE 100 CITY: MAYFIELD HEIGHTS STATE: OH ZIP: 44124 BUSINESS PHONE: 4404430082 MAIL ADDRESS: STREET 1: 20600 CHAGRIN BLVD STREET 2: STE 1050 CITY: CLEVELAND STATE: OH ZIP: 44122 FORMER COMPANY: FORMER CONFORMED NAME: COLLABORATIVE CLINICAL RESEARCH INC DATE OF NAME CHANGE: 19960311 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KAISER JEROME H CENTRAL INDEX KEY: 0001213590 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20699 FILM NUMBER: 061217392 MAIL ADDRESS: STREET 1: 511 MELROSE PLACE CITY: SOUTH ORANGE STATE: NJ ZIP: 07079 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2006-11-10 0 0000886530 DATATRAK INTERNATIONAL INC DATA 0001213590 KAISER JEROME H 511 MELROSE PLACE SOUTH ORANGE NJ 07079 1 0 0 0 Common Shares, without par value 2006-11-10 4 A 0 1678 4.47 A 15213 D Director Stock Option (right to buy) 2.42 2000-06-01 2009-12-09 Common Shares 15000 15000 D Director Stock Option (right to buy) 3.46 2001-06-01 2010-06-01 Common Shares 18750 33750 D Director Stock Option (right to buy) 1.33 2002-06-01 2011-06-01 Common Shares 18750 52500 D Director Stock Option (right to buy) 1.97 2003-06-03 2012-06-04 Common Shares 18750 71250 D Director Stock Option (right to buy) 1.97 2004-06-03 2013-06-03 Common Shares 18750 90000 D Director Stock Option (right to buy) 7.56 2005-06-02 2014-06-02 Common Shares 9375 99375 D Director Stock Option (right to buy) 7.56 2005-06-02 2014-06-02 Common Shares 1500 100875 D Beneficial ownership of these securities was reported on a previously filed Form 3, Form 4 or Form 5. Options were granted under the Company's Amended and Restated Outside Directors Stock Option Plan in reliance upon the exemption provided by Rule 16b-3. /s/ Jerome H. Kaiser 2006-11-14 -----END PRIVACY-ENHANCED MESSAGE-----