-----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, CeRSlgAMTRRJeKNVNWlU/K3q87mCPvodl0uOiTJ8Kk/Fom9PgmAN8/TWsOV4BcAU Q5iu+no0n7IAw3KUWa0oMQ== 0001014739-04-000015.txt : 20040301 0001014739-04-000015.hdr.sgml : 20040301 20040301092055 ACCESSION NUMBER: 0001014739-04-000015 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040225 FILED AS OF DATE: 20040301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CARROLL CHRISTOPHER F CENTRAL INDEX KEY: 0001222502 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28740 FILM NUMBER: 04637463 BUSINESS ADDRESS: STREET 1: 100 CLEARBROOK RD CITY: ELMSFORD STATE: NY ZIP: 10523 BUSINESS PHONE: 9144601631 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 4 1 car51.xml X0201 4 2004-02-25 0 0001014739 MIM CORP MIMS 0001222502 CARROLL CHRISTOPHER F 100 CLEARBROOK ROAD ELMSFORD NY 10523 0 1 0 0 Chief Accounting Officer Common Stock, $.0001 par value 2004-02-25 4 M 0 16667 5.5600 A 16667 D Common Stock, $.0001 par value 2004-02-25 4 S 0 16667 7.9500 D 0 D Employee Stock Option (Right to Buy) 5.5600 2004-02-25 4 M 0 16667 0 D 2004-01-27 2013-01-27 Common Stock, $.0001 par value 16667 33333 D Employee Stock Option (Right to Buy) 7.9500 2004-09-24 2013-09-24 Common Stock, $.0001 par value 20000 20000 D Vests and becomes exercisable in three equal annual installments commencing on the first anniversary of the date of grant. /s/ Carroll, Christopher F. 2004-02-26 -----END PRIVACY-ENHANCED MESSAGE-----