-----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, FEEY3HbkJtgWx6MSHMX84jyDTIjV+I7XY4uWdaPHff2L3oKM5+U6F0jXdy5tf7Aj hsbur1mor8NYfK9ru7vRbA== 0000950142-04-000698.txt : 20040304 0000950142-04-000698.hdr.sgml : 20040304 20040304144456 ACCESSION NUMBER: 0000950142-04-000698 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040302 FILED AS OF DATE: 20040304 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KELLY BRADEN R CENTRAL INDEX KEY: 0001175873 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22052 FILM NUMBER: 04648582 BUSINESS ADDRESS: STREET 1: 2555 DAVIE RD STREET 2: STE 110 CITY: FT LAUDERDALE STATE: FL ZIP: 33317 BUSINESS PHONE: 9544731001 MAIL ADDRESS: STREET 1: 2555 DAVIE RD STREET 2: STE 110 CITY: FT LAUDERDALE STATE: FL ZIP: 33317 4 1 form4_bkelly-proxymedex.xml X0201 4 2004-03-02 0 0000906337 PROXYMED INC /FT LAUDERDALE/ PILL 0001175873 KELLY BRADEN R C/O GENERAL ATLANTIC SERVICE CORPORATION 3 PICKWICK PLAZA GREENWICH CT 06830 1 0 0 0 Common Stock 2004-03-02 4 P 0 1166184 14.25 A 0 I See Footnote Common Stock 2004-03-02 4 P 0 63943 14.25 A 0 I See Footnote Common Stock 2004-03-02 4 P 0 15930 14.25 A 0 I See Footnote Common Stock 2004-03-02 4 P 0 15789 14.25 A 2828641 I See Footnote By General Atlantic Partners 77, L.P. ("GAP 77"). See footnote 5 below. By GAP Coinvestments III, LLC ("GAPCO III"). See footnote 5 below. By GAP Coinvestments IV, LLC ("GAPCO IV"). See footnote 5 below. By GapStar, LLC ("GapStar"). See footnote 5 below. 2,828,641 shares of common stock includes 1,166,184 shares owned by GAP 77, 63,943 shares owned by GAPCO III, 15,930 shares owned by GAPCO IV, 117,622 shares owned by GapStar, 1,289,821 shares owned by General Atlantic Partners 74, L.P. ("GAP 74") and 175,141 shares owned by GAP Coinvestment Partners II, L.P. ("GAPCO II"). General Atlantic Partners, LLC ("GAP LLC") is the general partner of GAP 77 and GAP 74 and the managing member of GapStar. The managing members of GAP LLC (other than certain managing members) are also the general partners of GAPCO II and the managing members of GAPCO III and GAPCO IV. Mr. Kelly is a general partner of GAPCO II and a managing member of GAP LLC, GAPCO III and GAPCO IV. Mr. Kelly disclaims beneficial ownership of the shares owned by GAP 74, GAP 77, GapStar, GAPCO II, GAPCO III and GAPCO IV except to the extent of his pecuniary interest therein. /s/ Braden R. Kelly 2004-03-03 -----END PRIVACY-ENHANCED MESSAGE-----