FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 12/08/2004 |
3. Issuer Name and Ticker or Trading Symbol
MAXIMUS INC [ MMS ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 615 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Options (Right to Buy) | (1) | 03/20/2010 | Common Stock | 35,000 | $36.25 | D | |
Options (Right to Buy) | (2) | 03/01/2014 | Common Stock | 50,000 | $34.9 | D | |
Restruicted Stock Units (RSU) | (4) | 02/28/2014 | Common Stock | 3,000 | (3) | D | |
Options (Right to Buy) | (5) | 11/19/2010 | Common Stock | 10,000 | $28.5 | D |
Explanation of Responses: |
1. NQ Options are fully vested, and are restricted to authorized periods for exercise. Exercisable Full Vest Expires 5,000 03/20/2002 03/20/2010 15,000 03/20/2003 03/20/2010 15,000 03/20/2004 03/20/2010 |
2. NQ Options are exercised based on the following schedule: Granted Full Vest Expires 12,500 02/28/2005 03/01/2014 12,500 02/28/2006 03/01/2014 12,500 02/28/2007 03/01/2014 12,500 02/28/2008 03/01/2014 |
3. RSU - No Conversion or Exercise Price |
4. Restricted Stock Units vest based on the following schedule: Issued Lapse Date Expires 500 03/31/2005 02/28/2014 500 03/31/2006 02/28/2014 500 03/31/2007 02/28/2014 500 03/31/2008 02/28/2014 500 03/31/2009 02/28/2014 500 03/31/2010 02/28/2014 |
5. NQ Options are exercised based on the following schedule: Granted Full Vest Expires 2,500 11/19/2005 11/19/2010 2,500 11/19/2006 11/19/2010 2,500 11/19/2007 11/19/2010 2,500 11/19/2008 11/19/2010 |
David R. Francis, Attorney-In-Fact for: David Crawford | 12/08/2004 | |
** Signature of Reporting Person | Date | |
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 5 (b)(v). | ||
** 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 is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |