-----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, JolYTM4Loj7rYpxC9uBCiMkO7SNal1SycTQHcGrCSbyjHSVBqA9udxeBRdWZIeOX 9r/1dh7+VVVS+td/Cc16Fw== 0000930661-01-501277.txt : 20010723 0000930661-01-501277.hdr.sgml : 20010723 ACCESSION NUMBER: 0000930661-01-501277 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20010713 FILED AS OF DATE: 20010720 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: EDGEWATER TECHNOLOGY INC/DE/ CENTRAL INDEX KEY: 0001017968 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HELP SUPPLY SERVICES [7363] IRS NUMBER: 710788538 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 000-20971 FILM NUMBER: 1685546 BUSINESS ADDRESS: STREET 1: 302 EAST MILLSAP ROAD CITY: FAYETTEVILLE STATE: AR ZIP: 72703 BUSINESS PHONE: 5019736000 MAIL ADDRESS: STREET 1: 302 EAST MILLSAP ROAD CITY: FAYETTEVETTE STATE: AR ZIP: 72703 FORMER COMPANY: FORMER CONFORMED NAME: STAFFMARK INC DATE OF NAME CHANGE: 19960702 COMPANY DATA: COMPANY CONFORMED NAME: MCWHORTER CLAYTON CENTRAL INDEX KEY: 0001133792 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 113 SCABOARD LANE CITY: FRANKLYN STATE: TN ZIP: 37067 BUSINESS PHONE: 5019736057 5 1 d5.txt FORM 5 /------------------------------/ / OMB APPROVAL / /------------------------------/ / OMB Number: 3235-0362 / / Expires: December 31, 2001 / / Estimated average burden / / hours per response...... 1.0 / /------------------------------/ +--------+ | FORM 5 | U.S. SECURITIES AND EXCHANGE COMMISSION +--------+ Washington, D.C. 20549 [X] Check this box if no longer subject ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP to Section 16. Form 5 obligations Filed pursuant to Section 16(a) of the Securities may continue. See Exchange Act of 1934, Section 17(a) of the Instruction 1(b). Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 [_] Form 3 Holdings Reported [_] Form 4 Transactions Reported - -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person McWorter R. Clayton ---------------------------------------------------------------------------- (Last) (First) (Middle) 113 Seaboard Lane Suite B-200 ---------------------------------------------------------------------------- (Street) Franklin Tennessee 37067 ---------------------------------------------------------------------------- (City) (State) (Zip) 2. Issuer Name and Ticker or Trading Symbol Edgewater Technology, Inc. (EDGW) ----------------------------------- 3. IRS or Social Security Number of Reporting Person, if an entity (Voluntary) -------------- 4. Statement for Month/Year 2001 --------------------------------------------------- 5. If Amendment, Date of Original (Month/Year) -------------------------------- 6. Relationship of Reporting Person to Issuer (Check all applicable) [X] Director [_] Officer [_] 10% Owner [_] Other (give title below) (specify below) Director -------- 7. Individual or Joint/Group Filing (Check Applicable Line) [X] Form filed by One Reporting Person [_] Form filed by More Than One Reporting Person - ------------------------------------------------------------------------------- Table I--Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
- ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature (Instr. 3) action action or Disposed of (D) Securities ship of In- Date Code (Instr. 3, 4 and 5) Beneficially Form: direct (Month/ (Instr. 8) Owned at Direct Bene- Day/ End of (D) or ficial Year) Issuer's Indirect Owner- (A) or Fiscal Year (I) ship Amount (D) Price (Instr. 3 and 4) (Instr. 4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 3,043* D - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------
*-As of June 6, 2001, which was the last day that the Reporting Person was a Director of Edgewater Technology, Inc. As of June 6, 2001, the Reporting Person no longer is a Director or has any other relationship with Edgewater Technology, Inc. Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. . If the form is filed by more than one reporting person, see Instruction 4(b)(v). Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. - -------------------------------------------------------------------------------- FORM 5(continued) s Table II--Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
- ----------------------------------------------------------------------------------------------------------------------------- 1. Title of Derivative 2. Conver- 3. Trans- 4. Transac- 5. Number of Deriv- Security (Instr. 3) sion or action tion Code ative Securities Exercise Date (Instr. 8) Acquired (A) or Price of (Month/ Disposed of (D) Deriv- Day/ (Instr. 3, 4, and 5) ative Year) Security --------------------------- (A) (D) - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- Stock Option $12.00 - ----------------------------------------------------------------------------------------------------------------------------- Stock Option $14.75 - ----------------------------------------------------------------------------------------------------------------------------- Stock Option $39.63 - ----------------------------------------------------------------------------------------------------------------------------- Stock Option $10.25 - ----------------------------------------------------------------------------------------------------------------------------- Stock Option $ 7.17 - ----------------------------------------------------------------------------------------------------------------------------- Stock Option $ 6.88 - -----------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------ 6. Date Exer- 7. Title and Amount of 8. Price 9. Number 10. Owner- 11. Na- cisable and Underlying Securities of of Deriv- ship ture Expiration (Instr. 3 and 4) Deriv- ative of De- of In- Date ative Secur- rivative direct (Month/Day/ Secur- ities Secu- Bene- Year) ity Bene- rity: ficial (Instr. 5) ficially Direct Owner- -------------------------------------------- Owned (D) or ship Date Expira- Amount or at End Indi- (Instr. 4) Exer- tion Title Number of of Year rect (1) cisable Date Shares (Instr. 4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ (1) 10/01/01 Common 10,000 D Stock - ------------------------------------------------------------------------------------------------------------------------------------ (2) 05/02/02 Common 2,000 D Stock - ------------------------------------------------------------------------------------------------------------------------------------ (3) 05/11/03 Common 2,000 D Stock - ------------------------------------------------------------------------------------------------------------------------------------ (4) 05/10/04 Common 2,000 D Stock - ------------------------------------------------------------------------------------------------------------------------------------ (5) 09/14/04 Common 10,000 D Stock - ------------------------------------------------------------------------------------------------------------------------------------ (6) 05/22/05 Common 5,000 31,000 D Stock - ------------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: (1) These options vest in annual increments of 33% commencing on 10/01/96 (2) These options vest in annual increments of 33% commencing on 5/02/97 (3) These options vest in annual increments of 33% commencing on 5/11/98 (4) These options vest in annual increments of 33% commencing on 5/10/99 (5) These options vest in annual increments of 33% commencing on 9/14/99 (6) These options vest in annual increments of 33% commencing on 5/22/00 ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. (Print or Type Responses) /s/ R. Clayton McWhorter 7/13/01 ------------------------------- ----------------- **Signature of Reporting Person Date R. Clayton McWhorter -----END PRIVACY-ENHANCED MESSAGE-----