0001140361-11-055629.txt : 20111201 0001140361-11-055629.hdr.sgml : 20111201 20111201164551 ACCESSION NUMBER: 0001140361-11-055629 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111130 FILED AS OF DATE: 20111201 DATE AS OF CHANGE: 20111201 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35013 FILM NUMBER: 111237719 MAIL ADDRESS: STREET 1: P.O. BOX 675151 CITY: RANCHO SANTA FE STATE: CA ZIP: 92067 4 1 doc1.xml FORM 4 X0304 4 2011-11-30 0 0001036188 QAD INC QADA, QADB 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) 2011-04-25 5 J 0 21 10.79 A 12155 D Class A Common Stock ($0.001 par value) 2011-07-12 5 J 0 22 10.49 A 12177 D Class A Common Stock ($0.001 par value) 2011-10-10 5 J 0 22 10.64 A 12199 D Class A Common Stock ($0.001 par value) 2011-11-30 4 S 0 3200 11.0608 D 8999 D Class B Common Stock ($0.001 par value) 2011-11-30 4 S 0 800 11.09 D 1221 D This filing on Form 4 discloses the acquisition of shares of QAD Class A Common Stock pursuant to a 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 4 reports a stock dividend received. Betty Weinert, attorney in fact for Peter van Cuylenburg 2011-12-01