-----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, Rkh+m7vWHlz5arUHqK8IPyO73AvFjuGumbdCwYa06bT3nCugCdEQ2E7ntVe170Vo Cj3J1qTzNaXz7bzkpPQUMg== 0001014739-04-000010.txt : 20040223 0001014739-04-000010.hdr.sgml : 20040223 20040223171338 ACCESSION NUMBER: 0001014739-04-000010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040223 FILED AS OF DATE: 20040223 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MIM CORP CENTRAL INDEX KEY: 0001014739 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 050489664 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 CLEARBROOK RD CITY: ELMSFORD STATE: NY ZIP: 10523 BUSINESS PHONE: 914 460 1600 MAIL ADDRESS: STREET 1: 33 NORTH ROAD CITY: PEACE DALE STATE: RI ZIP: 02883 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FRIEDMAN RICHARD H CENTRAL INDEX KEY: 0001033096 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28740 FILM NUMBER: 04622725 BUSINESS ADDRESS: STREET 1: C/O MIM CORP STREET 2: 100 CLEARBROOK ROAD CITY: ELMSFORD STATE: NY ZIP: 10523 BUSINESS PHONE: 9144601635 MAIL ADDRESS: STREET 1: C/O MIM CORP STREET 2: P O BOX 3689 CITY: PEACE DALE STATE: RI ZIP: 02883 4 1 fri46.xml X0201 4 2004-02-23 0 0001014739 MIM CORP MIMS 0001033096 FRIEDMAN RICHARD H 100 CLEARBROOK ROAD ELMSFORD NY 10523 1 1 0 0 Chairman and CEO Common Stock, $.0001 par value 2004-02-23 4 S 0 1500 7.8500 D 1198500 D Common Stock, $.0001 par value 2004-02-23 4 S 0 4400 7.8700 D 1194100 D Common Stock, $.0001 par value 2004-02-23 4 S 0 11400 7.9000 D 1182700 D Common Stock, $.0001 par value 2004-02-23 4 S 0 2500 7.9200 D 1180200 D Common Stock, $.0001 par value 2004-02-23 4 S 0 2500 7.9300 D 1177700 D Common Stock, $.0001 par value 20000 I By Shares Held By Ltd Partnership Employee Stock Option (Right to Buy Common Stock) 2.1600 2000-10-08 2009-10-08 Common Stock, $.0001 par value 207806 207806 D Employee Stock Option (Right to Buy Common Stock) 2.3700 2000-10-08 2009-10-08 Common Stock, $.0001 par value 42194 42194 D Employee Stock Option (Right to Buy Common Stock) 12.2000 2002-11-28 2011-11-28 Common Stock, $.0001 par value 200000 200000 D Employee Stock Option (Right to Buy Common Stock) 17.8000 2003-01-02 2012-01-02 Common Stock, $.0001 par value 200000 200000 D Employee Stock Option (Right to Buy Common Stock) 5.8000 2004-01-02 2013-01-02 Common Stock, $.0001 par value 200000 200000 D Employee Stock Option (Right to Buy) 7.0300 2005-01-02 2014-01-02 Common Stock, $.0001 par value 200000 200000 D Shares of Common Stock are owned by the Richard Friedman Family Limited Partnership, of which Mr. Friedman is a general and limited partner. Mr. Friedman has shared voting and dispositive power with respect to these shares of Common Stock. Vests and becomes exercisable in three equal annual installments commencing on the first anniversary of the date of grant. /s/ Friedman, Richard H. 2004-02-23 -----END PRIVACY-ENHANCED MESSAGE-----