-----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, RomxzC2XEFdgl1td9MieAyq+QyA0IlVOdm/PDm3lH5GD1erh1IVihPvOjF//CGiH dkkN/Y+UZjXrxdMaKyTe7A== 0000906337-99-000027.txt : 19991213 0000906337-99-000027.hdr.sgml : 19991213 ACCESSION NUMBER: 0000906337-99-000027 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19991130 FILED AS OF DATE: 19991210 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-22052 FILM NUMBER: 99772513 BUSINESS ADDRESS: STREET 1: 2555 DAVIE ROAD STREET 2: SUITE 110 CITY: FORT 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: CARPENTER JEFF K CENTRAL INDEX KEY: 0001076250 STANDARD INDUSTRIAL CLASSIFICATION: [] OTHER IRS NUMBER: 650202059 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 8724 COUNTY LINE ROAD CITY: SELLERSBURG STATE: IN ZIP: 47172-9688 BUSINESS PHONE: 9544731001 MAIL ADDRESS: STREET 1: 8724 COUNTY LINE ROAD CITY: SELLERSBURG STATE: IN ZIP: 47172-9688 4 1 FORM 4 - NOVEMBER 1999 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP (X) Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). 1. Name and Address of Reporting Person Carpenter, Jeff K 8724 County Line Road Sellersburg, IN 47172-9688 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 November 1999 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director ( ) 10% Owner ( ) Officer (give title below) (X) Other (specify below) President & CEO of Key Communications Services, Inc., a subsidiary of PILL 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 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 | | | | | Beneficially |(D)or | | | | | | | A/| | Owned at |Indir | | | Date |Code|V| Amount | D | Price | End of Month |ect(I)| | ___________________________________________________________________________________________________________________________________| Common Stock |11/02/|S |V|16,981 |D |$12.74 | |D | | |99 | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |11/03/|S |V|7,500 |D |$13.00 | |D | | |99 | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |11/05/|S |V|1,250 |D |$13.42 | |D | | |99 | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |11/08/|S |V|5,000 |D |$13.20 | |D | | |99 | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |11/09/|S |V|5,000 |D |$12.73 | |D | | |99 | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |11/11/|S |V|4,500 |D |$12.49 | |D | | |99 | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |11/12/|S |V|4,000 |D |$12.37 | |D | | |99 | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |11/18/|S |V|15,000 |D |$11.02 | |D | | |99 | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |11/19/|S |V|15,000 |D |$11.05 | |D | | |99 | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |11/30/|S |V|7,500 |D |$11.17 |14,273 |D | | |99 | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ 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 | | | rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |Price 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 |Date |Code|V| Amount | |ble | | | |Month |(I)| | ___________________________________________________________________________________________________________________________________| | | | | | | | | | | | | | | | ___________________________________________________________________________________________________________________________________|
Explanation of Responses: SIGNATURE OF REPORTING PERSON Jeff K. Carpenter DATE December 2, 1999 -----END PRIVACY-ENHANCED MESSAGE-----