-----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, KdhSR7TfmY9Q46yYEBQEq8cfOHz2Ff+h6iT/noz6oVyzif0faeg1d0vbw8Z6Rbws o+uTZ7Fi+cRzby1yBT5kUQ== 0000930661-02-000480.txt : 20020414 0000930661-02-000480.hdr.sgml : 20020414 ACCESSION NUMBER: 0000930661-02-000480 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20011231 FILED AS OF DATE: 20020214 COMPANY DATA: COMPANY CONFORMED NAME: ALLISON GORDON Y CENTRAL INDEX KEY: 0001133791 OFFICER FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 302 EAST MILLSAP ROAD CITY: FAYETTEVILLE STATE: AR ZIP: 72703 BUSINESS PHONE: 5019736057 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: EDGEWATER TECHNOLOGY INC/DE/ CENTRAL INDEX KEY: 0001017968 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] IRS NUMBER: 710788538 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20971 FILM NUMBER: 02549104 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 5 1 d5.txt FORM 5 FOR GORDON ALLISON ================================================================================ /------------------------------/ / OMB APPROVAL / /------------------------------/ / OMB Number: 3235-0362 / / Expires: December 31, 2001 / / Estimated average burden / / hours per response...... 1.0 / /------------------------------/ +--------+ UNITED STATES | FORM 5 | SECURITIES AND EXCHANGE COMMISSION +--------+ Washington, D.C. 20549 [_] Check box if no longer subject ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP to Section 16. Form 4 or Form 5 Filed pursuant to Section 16(a) of the Securities obligations may Exchange Act of 1934, Section 17(a) of the continue. See Public Utility Holding Company Act of 1935 or Instruction 1(b). 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* Allison Gordon Y. ---------------------------------------------------------------------------- (Last) (First) (Middle) c/o Edgewater Technology, Inc. 302 Millsap Rd ---------------------------------------------------------------------------- (Street) Fayetteville AR 72703 ---------------------------------------------------------------------------- (City) (State) (Zip) 2. Issuer Name and Ticker or Trading Symbol Edgewater Technology, Inc. (EDGW) ----------------------------------- 3. I.R.S. Identification 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(s) to Issuer (Check all applicable) [ ] Director [X] Officer [ ] 10% Owner [ ] Other (give title below) (specify below) E.V.P. General Counsel ---------------------------------------------------------------------------- 7. Individual or Joint/Group Reporting (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 2. Transaction 3. Transaction 4. Securities Acquired (A) 5. Amount of 6. Ownership 7. Nature of Security Date (Month/ Code (Instr. 8) or Disposed of (D) Securities Form: Direct Indirect (Instr. 3) Day/Year) (Instr. 3, 4 and 5) Beneficially (D) or Beneficial Owned at the Indirect (I) Ownership ---------------------- end of Issuer's (Instr. 4) (Instr. 4) (A) or Fiscal Year Amount (D) Price (Instr. 3 and 4) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------
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. - -------------------------------------------------------------------------------- Table II--Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
- ----------------------------------------------------------------------------------------------------------------------------- 1. Title of Derivative 2. Conversion 3. Transaction 4. Transaction 5. Number of Derivative Security (Instr. 3) or Exercise Date Code (Instr. 8) Securities Acquired (A) Price of (Month/Day/Year) or Disposed of (D) Derivative (Instr. 3, 4, and 5) Security -------------------------- (A) (D) - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- Stock Option $16.00 - ----------------------------------------------------------------------------------------------------------------------------- Stock Option $ 8.63 - ----------------------------------------------------------------------------------------------------------------------------- Stock Option $27.00 J (2) - ----------------------------------------------------------------------------------------------------------------------------- Stock Option $24.50 J (2) - -----------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------ 6. Date Exercisable 7. Title and Amount of 8. Price of 9. Number of 10. Ownership of 11. Nature of and Expiration Underlying Securities Derivative Derivative Derivative Indirect Date (Month/Day/ (Instr. 3 and 4) Security Securities Security: Beneficial Year) (Instr. 5) Beneficially Direct (D) or Ownership ---------------------------------------------- Owned at End Indirect (1) (Instr. 4) Date Expira- Amount or of Year (Instr. 4) Exer- tion Title Number of (Instr. 4) cisable Date Shares - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ (1) 6/23/07 Common Stock 30,000 D - ------------------------------------------------------------------------------------------------------------------------------------ (1) 4/19/09 Common Stock 15,000 45,000 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 10,000 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 5,000 D - ------------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: (1) These options are fully vested. (2) Options were voluntarily canceled on December 31, 2001. /s/ Gordon Y. Allison 2/14/02 -------------------------------- ----------------- **Signature of Reporting Person Date ** 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. -----END PRIVACY-ENHANCED MESSAGE-----