-----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, AKb1y84MHNm91Z6IpVR3ZygMq1NMOIhYUWMZgsIB1dIsRlS936NKqDy3vAw8nh9n 9WgZw9YpnvPyjgDcfv6OKw== 0000922423-02-000527.txt : 20020514 0000922423-02-000527.hdr.sgml : 20020514 ACCESSION NUMBER: 0000922423-02-000527 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20011001 FILED AS OF DATE: 20020514 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: INTERNET COMMERCE CORP CENTRAL INDEX KEY: 0000894738 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371] IRS NUMBER: 133645702 STATE OF INCORPORATION: DE FISCAL YEAR END: 0731 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24996 FILM NUMBER: 02645495 BUSINESS ADDRESS: STREET 1: 805 THIRD AVE STREET 2: STE 622 CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2122717640 MAIL ADDRESS: STREET 1: 805 THIRD AVENUE STREET 2: 342 MADISON AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 FORMER COMPANY: FORMER CONFORMED NAME: INFOSAFE SYSTEMS INC DATE OF NAME CHANGE: 19940914 COMPANY DATA: COMPANY CONFORMED NAME: COOKE KIM CENTRAL INDEX KEY: 0001127929 DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: C/O INTERNET COMMERCE CORP STREET 2: 805 THIRD AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2122717610 MAIL ADDRESS: STREET 1: C/O INTERNET COMMERCE CORP STREET 2: 805 THIRD AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 4 1 kl05022_form4.txt FORM 4 FORM 4 --------------------------- OMB APPROVAL --------------------------- OMB Number........3235-0287 Expires: January 31,2005 Estimated average burden hours per response......0.5 --------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). 1. Name and Address of Reporting Person Cooke, Kim D. c/o Internet Commerce Corporation 805 Third Avenue New York, New York 10022 2. Issuer Name and Ticker or Trading Symbol Internet Commerce Corporation ("ICCA") 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year October 2001 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 7. Individual or Joint/Group Filing (Check Applicable Line) (X) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person
- ----------------------------------------------------------------------------------------------------------------------------------- Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | - -----------------------------------------------------------------------------------------------------------------------------------| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | | Transaction | or Disposed of (D) | Securities |ect | Beneficial Ownership | | | | | Beneficially |(D)or | | | | | | | A/| | Owned at |Indir | | | Date |Code|V| Amount | D | Price | End of Month |ect(I)| | - -----------------------------------------------------------------------------------------------------------------------------------| - -----------------------------------------------------------------------------------------------------------------------------------| Class A Common Stock |10/29/01| P | | 181,818 | A | $2.75(1) | 945,455 |I(2) | (1)(2) | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------|
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). (Over) SEC 1474 (7-96) Page 1 of 2
- ----------------------------------------------------------------------------------------------------------------------------------- Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | - -----------------------------------------------------------------------------------------------------------------------------------| 1.Title of Derivative |2.Con- |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of | Security |version |Transaction | rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | (Instr. 3) |or Exer |(Date/ | rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise |Month/ | red(A) or Dis |Date(Month/| (Instr. 3 and 4) |Secu |Securities |(D)|Ownership | |Price of|Year)| | posed of(D) |Day/Year) | |rity |Benefi |or |(Instr. 4) | |Deriva- |(Instr.8) | (Istr.3,4 |Date |Expir| |(Instr.|ficially |Ind| | |tive | | | and 5) |Exer-|ation| Title Amount or|5) |Owned at |ire| | |Secu- | | | | | D |cisa-|Date | Number | |End of |ct | | |rity |Date |Code|V| Amount | |ble | | of Shares| |Month |(I)| | | | | | | | | | | | |(Instr.4) |(In| | |str| | |4) | | - -----------------------------------------------------------------------------------------------------------------------------------| - -----------------------------------------------------------------------------------------------------------------------------------| 2001 Private | | | | | | | | |Class A| | | | | | Placement | | | | | | | | |Common | | | | | | Warrant |$3.58 |10/29/01|P | |54,545|A |10/29/01|10/28/06|Stock |54,545 | (1) |54,545(3) | I | (1)(3) | - -----------------------------------------------------------------------------------------------------------------------------------| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------|
Explanation of Responses: (1) On October 29, 2001, Blue Water Venture Fund II, L.L.C., of which Mr. Cooke is a managing director., purchased for $2.75 per share of class A common stock, 181,818 shares of class A common stock and 54,545 warrants to purchase class A common stock in a private placement. (2) Mr. Cooke disclaims beneficial ownership as to these securities, which are owned by Blue Water Venture Fund II, L.L.C., of which Mr. Cooke is a managing director. (3) Mr. Cooke disclaims beneficial ownership as to 54,545 of these securities. which are owned by Blue Water Venture Fund II, L.L.C., of which Mr. Cooke is a managing director. /s/ Kim D. Cooke -------------------------------- ** Signature of Reporting Person May 10, 2002 ----------------- 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. 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. SEC 1474 (7-96) Page 2 of 2 -----END PRIVACY-ENHANCED MESSAGE-----