0001140361-12-016148.txt : 20120316 0001140361-12-016148.hdr.sgml : 20120316 20120316114914 ACCESSION NUMBER: 0001140361-12-016148 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120131 FILED AS OF DATE: 20120316 DATE AS OF CHANGE: 20120316 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Adelson Scott Joseph CENTRAL INDEX KEY: 0001360042 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35013 FILM NUMBER: 12696481 MAIL ADDRESS: STREET 1: 1930 CENTURY PARK WEST CITY: LOS ANGELES STATE: CA ZIP: 90067 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 5 1 doc1.xml FORM 5 X0304 5 2012-01-31 0 0 1 0001036188 QAD INC QADA 0001360042 Adelson Scott Joseph 10250 CONSTELLATION BLVD. 5TH FLOOR LOS ANGELES CA 90067 1 0 0 0 Class A Common Stock ($0.001 par value) 2011-03-15 4 J 0 L 25 0 A 17286 D Class A Common Stock ($0.001 par value) 2011-06-01 4 J 0 L 35 0 A 17286 D Class A Common Stock ($0.001 par value) 2011-08-30 4 J 0 L 57 0 A 17286 D Class A Common Stock ($0.001 par value) 2012-11-29 4 J 0 L 67 0 A 17286 D Acquisition of shares pursuant to a stock dividend payable to shareholders of record on the transaction date by which reporting person, together with all other shareholders of the Company, could elect to receive stock or cash. Betty Weinert, attorney in fact for Scott Adelson 2012-03-16