-----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, VGpyL8tfN9rPM1zljpUo/ux9Tp7YqOWy3V6pg/2dy70AM2UmQi+yUF7q/lhykqoS DhDxqVJvJmwqfdBBN45iMA== 0000906337-04-000006.txt : 20040318 0000906337-04-000006.hdr.sgml : 20040318 20040318153152 ACCESSION NUMBER: 0000906337-04-000006 CONFORMED SUBMISSION TYPE: 4 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22052 FILM NUMBER: 04677766 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 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 Stock Options 17.5 2004-03-17 4 A 0 15000 17.5 A 2014-03-17 Common Stock, $.001 par value 15000 15548 D Stock Options exercisable as follows: 5,000 vest on 3/17/05; 5,000 vest on 3/17/06; and 5,000 vest on 3/17/07. William L. Bennett 2004-03-17 -----END PRIVACY-ENHANCED MESSAGE-----