-----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, Tl+n4c81viHc2zoWbB1zremKt85Ys2h9q8l+BgWWGpibMrrEVjDC+wmupq24+p+Z xrX8IZ39gdr6zhrPRdxgXA== 0000906337-98-000002.txt : 19980107 0000906337-98-000002.hdr.sgml : 19980107 ACCESSION NUMBER: 0000906337-98-000002 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19970415 FILED AS OF DATE: 19980106 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PROXYMED INC /FT LAUDERDALE/ CENTRAL INDEX KEY: 0000906337 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DRUG STORES AND PROPRIETARY STORES [5912] IRS NUMBER: 650202059 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 000-22052 FILM NUMBER: 98501548 BUSINESS ADDRESS: STREET 1: 2501 DAVIE RD STE 230 CITY: FT LAUDERDALE STATE: FL ZIP: 33317-7424 BUSINESS PHONE: 9544731001 FORMER COMPANY: FORMER CONFORMED NAME: HMO PHARMACY INC DATE OF NAME CHANGE: 19930601 COMPANY DATA: COMPANY CONFORMED NAME: GAMPEL HARRY CENTRAL INDEX KEY: 0001010445 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR STATE OF INCORPORATION: FL FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 2501 DAVIE ROAD, SUITE 230 CITY: FORT LAUDERDALE STATE: FL ZIP: 33317 BUSINESS PHONE: 9544731001 5 1 FORM 5 - FEB., MAR. & APR. 19 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). ( ) Form 3 Holdings Reported ( ) Form 4 Transactions Reported 1. Name and Address of Reporting Person Gampel, Harry A 19495 Biscayne Blvd., #906 Aventura, FL 33180 USA 2. Issuer Name and Ticker or Trading Symbol ProxyMed, Inc. PILL 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year Feb., Mar. & Apr. 1997 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) Director 7. Individual or Joint/Group Reporting (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 | |Date |Code| | Beneficially |(D)or | | | | | | A/| | Owned at |Indir | | | | | Amount | D | Price | End of Year |ect(I)| | ___________________________________________________________________________________________________________________________________| Common Stock |02/27/|S* |3,000 |D |$6.75 |260,558 |D | | |97 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |02/27/|S* |4,000 |D |$6.65 |256,558 |D | | |97 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |03/10/|S* |2,000 |D |$6.375 |254,558 |D | | |97 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |03/10/|S* |2,000 |D |$6.375 |252,558 |D | | |97 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |03/12/|S* |2,000 |D |$6.30 |250,558 |D | | |97 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |03/14/|S* |3,000 |D |$6.40 |247,558 |D | | |97 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |04/11/|S* |2,000 |D |$5.00 |245,558 |D | | |97 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |04/11/|S* |2,000 |D |$4.95 |243,558 |D | | |97 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |04/15/|S* |2,000 |D |$5.00 |241,558 |D | | |97 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ 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 | |or Exer |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |ice of | | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity | | | Amount | |ble | | | |Year |(I)| | ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________|
Explanation of Responses: *PROCEEDS FROM THE SALE OF COMMON STOCK WENT TO THE "HARRY A. GAMPEL CHARITABLE TRUST". SIGNATURE OF REPORTING PERSON Harry A. Gampel DATE January 6, 1998 -----END PRIVACY-ENHANCED MESSAGE-----