-----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, VO/mJ1y7UZCJhQU/L3vwcuJzK8wIdi4YvdAy8kEi2TDYUZk9vy+DUZW8t3qWKrxP SYeshYBM2p3/xjvtt1U6qg== 0000724910-97-000001.txt : 19970221 0000724910-97-000001.hdr.sgml : 19970221 ACCESSION NUMBER: 0000724910-97-000001 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970211 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PREMIS CORP CENTRAL INDEX KEY: 0000724910 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 411424202 STATE OF INCORPORATION: MN FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: SC 13D SEC ACT: 1934 Act SEC FILE NUMBER: 005-35376 FILM NUMBER: 97523580 BUSINESS ADDRESS: STREET 1: 15301 HIGHWAY 55 WEST CITY: PLYMOUTH STATE: MN ZIP: 55447 BUSINESS PHONE: 6125501999 MAIL ADDRESS: STREET 1: 15301 HIGHWAY 55 WEST CITY: PLYMOUTH STATE: MN ZIP: 55447 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: PREMIS CORP CENTRAL INDEX KEY: 0000724910 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 411424202 STATE OF INCORPORATION: MN FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: STREET 1: 15301 HIGHWAY 55 WEST CITY: PLYMOUTH STATE: MN ZIP: 55447 BUSINESS PHONE: 6125501999 MAIL ADDRESS: STREET 1: 15301 HIGHWAY 55 WEST CITY: PLYMOUTH STATE: MN ZIP: 55447 SC 13D 1 United States Securities and Exchange Commission Washington, D.C. 20549 Schedule 13D Under the Securities and Exchange Act of 1934 (Amendment No. 1) PREMIS Corporation (Name of Issuer) Common Stock (Title of Class of Securities) 740583109 (CUSIP Number) Richard R. Peterson PREMIS Corporation 13220 County Road 6 Plymouth, Minnesota 55447 Phone Number (612)550-1999 extension 205 (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) April 1, 1997 (Date of Event Which Requires Filing of This Statement) If the person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(b)(3) or (4), check the following box. [ ] Check the following box if a fee is being paid with this statement. [ ] The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). CUSIP NO. 740583109 1. Name(s) of reporting persons. Ted Anderson 2. Check the appropriate box if a member of a group (a) (b) Not Applicable 3. SEC use only 4. Source of funds Not Applicable. Right to acquire Common Stock. 5. Check if disclosure of legal proceedings is required pursuant to Items 2(d) or 2(e). Not Applicable 6. Citizenship or place of organization. Canadian Resident Number of shares beneficially owned by each reporting person with: 7. Sole voting power. 650,000 Non-Qualified Common Stock Options 8. Shared voting power. 0 9. Sole dispositive power. 650,000 Non-Qualified Common Stock Options 10. Shared dispositive power. 0 11. Aggregate amount beneficially owned by each reporting person. 650,000 Non-Qualified Common Stock Options 12. Check if the aggregate amount in Row (11) excludes certain shares. Not Applicable 13. Percent of class represented by amount in Row (11). 12 percent 14. Type of reporting person. Individual Item 1 Common Stock, Par Value $.01 per share of PREMIS Corporation PREMIS Corporation 13220 County Road 6 Plymouth, MN 55447 Item 2 (a) Ted Anderson (b) Mr. Anderson"s business address is 3500 Steeles Avenue East, Suite 1300, 3rd Floor Markham, Ontario, Canada L3R 0X1 (c) Mr. Anderson's principal occupation is President and Chief Executive Officer of PREMIS Systems Canada a subsidiary of PREMIS Corporation. (d) During the last five years Mr. Anderson has not been convicted in any criminal proceeding of a nature described in Item 2(d) of Schedule 13D. (e) During the last five years Mr. Anderson was not a party to any civil proceeding of a nature described in Item 2(e) of Schedule 13D. (f) Mr. Anderson is a Canadian Resident. Item 3 Not Applicable. Right to acquire in the future. Item 4 The Non-Qualified Common Stock Option grant was part of an employment agreement filed in connection with the Stock Purchase Agreement between PREMIS Corporation (Buyer) and certain individuals, including Mr. Anderson. Item 5 (a) Mr. Anderson will have the right to acquire 650,000 shares of common stock pursuant to the Non-Qualified Common Stock Option Grant. Represents 12 percent of the class of securities identified pursuant to Item 1. (b) Mr. Anderson has sole power to vote the shares acquired pursuant to the Non-Qualified Common Stock Option. (c) Not Applicable. Item 6 Not Applicable. Item 7 The Non-Qualified Stock Option agreement between PREMIS Corporation and Ted Anderson has been incorporated by reference to exhibit 10.4 filed as part of Form S-2, Commission File No. 333-10917. Signature: After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Dated: February 10, 1997 /s/ Ted Anderson Ted Anderson -----END PRIVACY-ENHANCED MESSAGE-----