-----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, JWuGgeertpt6pKrptKwYfyHoMNNc1GDqYB92scMqv7jsXRhbYJ31cBkvpHFMivAR TqGvgTSdPc8cTCOor8CNtg== 0000906337-04-000021.txt : 20040920 0000906337-04-000021.hdr.sgml : 20040920 20040920095752 ACCESSION NUMBER: 0000906337-04-000021 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040917 FILED AS OF DATE: 20040920 DATE AS OF CHANGE: 20040920 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WOHLFORD THOMAS C III CENTRAL INDEX KEY: 0001264699 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22052 FILM NUMBER: 041036795 BUSINESS ADDRESS: STREET 1: C/O PROXYMED STREET 2: 2555 DAVIE ROAD STE 110 CITY: FORT LAUDERDALE STATE: FL ZIP: 33317 BUSINESS PHONE: 9544731001 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 X0202 4 2004-09-17 0 0000906337 PROXYMED INC /FT LAUDERDALE/ PILL 0001264699 WOHLFORD THOMAS C III C/O 1854 SHACKLEFORD COURT SUITE 200 NORCROSS GA 33093 0 1 0 0 Sr. V.P., Submitter Services Employee Stock Options 10.1 2004-09-17 4 A 0 10000 10.1 A 2014-09-17 Common Stock, $.001 par value 10000 40000 D Stock Options to vest as follows: 3,334 on 9/17/2005, 3,333 on 9/17/2006, 3,333 on 9/17/2007 Thomas C. Wohlford, III 2004-09-20 -----END PRIVACY-ENHANCED MESSAGE-----