-----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, UAKU7W8Pk4mDy/b43mz4sOWyvGXWiFSDm20fIYkH1HaaBYuGnlAVI5f4BCgLMhOt mLU++QSlenEWBd/UiZ3/Hw== 0001209191-09-017986.txt : 20090323 0001209191-09-017986.hdr.sgml : 20090323 20090323175514 ACCESSION NUMBER: 0001209191-09-017986 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090319 FILED AS OF DATE: 20090323 DATE AS OF CHANGE: 20090323 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Birch Laurence CENTRAL INDEX KEY: 0001319000 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33688 FILM NUMBER: 09699714 MAIL ADDRESS: STREET 1: TWO MARRIOTT DR CITY: LINCOLNSHIRE STATE: IL ZIP: 60069 FORMER NAME: FORMER CONFORMED NAME: Birch Lawrence DATE OF NAME CHANGE: 20050225 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: 6150 PARKLAND BLVD STREET 2: STE 100 CITY: MAYFIELD HEIGHTS STATE: OH ZIP: 44124 FORMER COMPANY: FORMER CONFORMED NAME: COLLABORATIVE CLINICAL RESEARCH INC DATE OF NAME CHANGE: 19960311 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2009-03-19 0 0000886530 DATATRAK INTERNATIONAL INC DATA 0001319000 Birch Laurence 6150 PARKLAND BOULEVARD MAYFIELD HEIGHTS OH 44124 1 1 0 0 Interim CEO & Interim Pres. Common Shares, without par value 9636 D Director Stock Option (right to buy) 2.20 2007-11-13 2017-11-13 Common Shares 8129 8129 D Director Stock Option (right to buy) 1.79 2008-02-29 2018-02-28 Common Shares 8400 16529 D Director Stock Option (right to buy) 0.69 2008-05-13 2018-05-13 Common Shares 7149 23678 D Director Stock Option (right to buy) 0.37 2008-08-11 2018-08-11 Common Shares 8129 31807 D Director Stock Option (right to buy) 0.24 2008-11-11 2018-11-11 Common Shares 8563 40370 D Director Stock Option (right to buy) 0.24 2008-11-11 2018-11-11 Common Shares 17557 57927 D Director Stock Option (right to buy) 0.12 2009-03-19 4 A 0 7603 0.00 A 2009-03-19 2019-03-19 Common Shares 7603 65530 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 2005 Omnibus Equity Plan in reliance upon the exemption provided by Rule 16b-3. The options are fully vested and immediately exercisable. /s/ Laurence P. Birch, by Arthur C. Hall III, his attorney-in-fact, pursuant to Power of Attorney, dated April 20, 2007, on file with the Commission. 2009-03-23 -----END PRIVACY-ENHANCED MESSAGE-----