-----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, EsuDRnq0FyQBLso9fFy3eyyqb6csdTm33kaHEOreNUNB4q/zYd+fr5O6LS9GOhlh 6mCuMOXQ0pKeexYPZ3W8dQ== 0000906337-04-000005.txt : 20040318 0000906337-04-000005.hdr.sgml : 20040318 20040318142144 ACCESSION NUMBER: 0000906337-04-000005 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040317 FILED AS OF DATE: 20040318 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BENNETT WILLIAM L CENTRAL INDEX KEY: 0001170465 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22052 FILM NUMBER: 04677520 BUSINESS ADDRESS: STREET 1: 333 MAIN STREET P O BOX 249 CITY: SAXONBURG STATE: PA ZIP: 16056-0249 BUSINESS PHONE: 7243527520 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PROXYMED INC /FT LAUDERDALE/ CENTRAL INDEX KEY: 0000906337 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 650202059 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2555 DAVIE ROAD STREET 2: SUITE 110 CITY: FORT LAUDERDALE STATE: FL ZIP: 33317-7424 BUSINESS PHONE: 9544731001 MAIL ADDRESS: STREET 1: 2555 DAVIE ROAD STREET 2: SUITE 110 CITY: FT LAUDERDALE STATE: FL ZIP: 33317 FORMER COMPANY: FORMER CONFORMED NAME: HMO PHARMACY INC DATE OF NAME CHANGE: 19930601 3 1 primary_doc.xml PRIMARY DOCUMENT X0201 3 2004-03-17 0 0000906337 PROXYMED INC /FT LAUDERDALE/ PILL 0001170465 BENNETT WILLIAM L C/O 2555 DAVIE ROAD SUITE 110 FORT LAUDERDALE FL 33317 1 0 0 0 Common Stock, $.001 par value 20054 D Common Stock, $.001 par value 99 I Children Stock Options 17.74 2014-03-02 Common Stock, $.001 par value 548 D # of shares adjusted to reflect exchange of PlanVista Corporation common stock to ProxyMed, Inc. common stock at the exchange rate of .08271. Reporting Person disclaims any beneficial ownership in these shares. Shares held in trust for children. Spouse of Reporting Person is designated as trustee. Stock Options exercisable as follows: 365 vested on 3/2/05; 183 vested on 3/2/07. William L. Bennett 2004-03-18 -----END PRIVACY-ENHANCED MESSAGE-----