0001140361-12-031636.txt : 20120629 0001140361-12-031636.hdr.sgml : 20120629 20120629114611 ACCESSION NUMBER: 0001140361-12-031636 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120628 FILED AS OF DATE: 20120629 DATE AS OF CHANGE: 20120629 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: 12934709 MAIL ADDRESS: STREET 1: P.O. BOX 675151 CITY: RANCHO SANTA FE STATE: CA ZIP: 92067 4 1 doc1.xml FORM 4 X0305 4 2012-06-28 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) 2012-06-28 4 J 0 1 13.94 A 8254 D Acquisition of shares pursuant to a stock dividend 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 Peter van Cuylenburg 2012-06-29