-----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, HwsC/sxenWKyjC5GzZNYhQnVq0L/jX8lbpwC21rfcd9GKhfBLMl0GuNUmtvgnAtc HQ21cPpXOfAAfnr7FWbOuA== 0000950142-04-000923.txt : 20040326 0000950142-04-000923.hdr.sgml : 20040326 20040326114615 ACCESSION NUMBER: 0000950142-04-000923 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040325 FILED AS OF DATE: 20040326 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: 04691781 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-pill032504ex.xml X0201 4 2004-03-25 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 2004-03-25 4 X 0 451437 15.93 A 0 I See Footnote Common Stock 2004-03-25 4 X 0 61300 15.93 A 0 I See Footnote Common Stock 2004-03-25 4 X 0 35642 15.93 A 0 I See Footnote Common Stock 3377020 I See Footnote Common Stock Warrant 15.93 2004-03-25 4 X 0 451437 0 D 2003-04-05 2004-04-05 Common Stock 451437 0 I See footnote Common Stock Warrant 15.93 2004-03-25 4 X 0 61300 0 D 2003-04-05 2004-04-05 Common Stock 61300 0 I See footnote Common Stock Warrant 15.93 2004-03-25 4 X 0 35642 0 D 2003-04-05 2004-04-05 Common Stock 35642 0 I See footnote By General Atlantic Partners 74, L.P. ("GAP 74"). See footnote 4. By GAP Coinvestment Partners II, L.P. ("GAPCO II"). See footnote 4. By GapStar, LLC ("GapStar"). See footnote 4. 3,377,020 shares of common stock includes 1,166,184 shares owned by General Atlantic Partners 77, L.P. ("GAP 77"), 1,741,258 shares owned by GAP 74, 236,441 shares owned by GAPCO II, 63,943 shares owned by GAP Coinvestments III, LLC ("GAPCO III"), 15,930 shares owned by GAP Coinvestments IV, LLC ("GAPCO IV") and 153,264 shares owned by GapStar, LLC ("GapStar"). 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 77, GAP 74, GAPCO II, GAPCO III, GAPCO IV and GapStar except to the extent of his pecuniary interest therein. /s/ Braden R. Kelly 2004-03-26 -----END PRIVACY-ENHANCED MESSAGE-----