0001140361-11-015668.txt : 20110310 0001140361-11-015668.hdr.sgml : 20110310 20110310135534 ACCESSION NUMBER: 0001140361-11-015668 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110131 FILED AS OF DATE: 20110310 DATE AS OF CHANGE: 20110310 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: QAD INC CENTRAL INDEX KEY: 0001036188 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 770105228 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 100 INNOVATION PLACE CITY: SANTA BARBARA STATE: CA ZIP: 93108 BUSINESS PHONE: 8055666000 MAIL ADDRESS: STREET 1: 100 INNOVATION PLACE CITY: SANTA BARBARA STATE: CA ZIP: 93108 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: VAN CUYLENBURG PETER CENTRAL INDEX KEY: 0001109425 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35013 FILM NUMBER: 11677879 MAIL ADDRESS: STREET 1: P.O. BOX 675151 CITY: RANCHO SANTA FE STATE: CA ZIP: 92067 5 1 doc1.xml FORM 5 X0303 5 2011-01-31 0 0 0 0001036188 QAD INC QADA 0001109425 VAN CUYLENBURG PETER P.O. BOX 675151 RANCHO SANTA FE CA 92067 1 0 0 0 Class A Common Stock ($0.001 par value) 2011-01-10 5 J 0 50 9.81 A 12934 D this filing on Form 5 discloses the acquisition of shares of QAD Class A Common Stock dividend which is exempt from the reporting requirements of Section 16 pursuant to Rule 16a-9(a). Received pursuant to a dividend paid on QAD's outstanding stock which was payable either in cash or QAD Class A Common Stock at the election of the holder. This Form 5 reports a stock dividend received. Betty Weinert, attorney in fact for Peter van Cuylenburg 2011-03-10