-----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, JMhJkwWjvBTbWV3rLAw+FfYW6rXcmuel5s32e6UXTlMPY9g6HG/dI36meLeeWrRe MbKladt7dbuFdcRS/Ade3A== 0000906337-98-000003.txt : 19980112 0000906337-98-000003.hdr.sgml : 19980112 ACCESSION NUMBER: 0000906337-98-000003 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19980105 FILED AS OF DATE: 19980109 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: 3 SEC ACT: SEC FILE NUMBER: 000-22052 FILM NUMBER: 98503324 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: PICKERING JAMES CENTRAL INDEX KEY: 0001052278 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER IRS NUMBER: 650202059 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 2501 DAVIE RD STE 230 CITY: FORT LAUDERDALE STATE: FL ZIP: 33317 MAIL ADDRESS: STREET 1: 2501 DAVIE RD STE 230 CITY: FORT LAUDERDALE STATE: FL ZIP: 33317 3 1 FORM 3 - 01/05/98 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 1. Name and Address of Reporting Person Pickering, James 2501 Davie Road Suite 230 Fort Lauderdale, FL 33317 USA 2. Date of Event Requiring Statement (Month/Day/Year) 01/05/98 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Issuer Name and Ticker or Trading Symbol ProxyMed, Inc. PILL 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other (specify below) Executive Vice President-Operations & Chief Operating Officer 6. If Amendment, Date of Original (Month/Day/Year) 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 Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. Amount of |3. Ownership |4. Nature of Indirect | | Securities | Form: | Beneficial Ownership | | Beneficially | Direct(D) or | | | Owned | Indirect(I) | | ___________________________________________________________________________________________________________________________________| N/A | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Date Exer- |3.Title and Amount | |4. Conver-|5. Owner- |6. Nature of Indirect | Security | cisable and | of Underlying | |sion or |ship | Beneficial Ownership | | Expiration | Securities | |exercise |Form of | | | Date(Month/ |-----------------------|---------|price of |Deriv- | | | Day/Year) | |Amount |deri- |ative | | | Date | Expira- | |or |vative |Security: | | | Exer- | tion | Title |Number of|Security |Direct(D) or | | | cisable | Date | |Shares | |Indirect(I) | | ___________________________________________________________________________________________________________________________________| Employee Stock Option (r|04/05/98 |01/05/08 |Common Stock |17,000 |$7.00 |D | | ight to buy) | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Employee Stock Option (r|01/05/99 |01/05/08 |Common Stock |17,000 |$7.00 |D | | ight to buy) | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Employee Stock Option (r|01/05/00 |01/05/08 |Common Stock |33,000 |$7.00 |D | | ight to buy) | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Employee Stock Option (r|01/05/01 |01/05/08 |Common Stock |33,000 |$7.00 |D | | ight to buy) | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________|
Explanation of Responses: SIGNATURE OF REPORTING PERSON James Pickering DATE January 8, 1998 -----END PRIVACY-ENHANCED MESSAGE-----