-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, PQhbqJ/ygTeefeV2K8Xlkxp6VgtofYj17SDsYxBpAoJpyq/sRau7aYOPY6dgfIK5 8ayIX/lvKzDGO1KbY4wupw== 0001241832-04-000001.txt : 20040106 0001241832-04-000001.hdr.sgml : 20040106 20040106132134 ACCESSION NUMBER: 0001241832-04-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20040105 FILED AS OF DATE: 20040106 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: 000-22823 FILM NUMBER: 04509088 BUSINESS ADDRESS: STREET 1: P O BOX 675151 CITY: RANCHO SANTA F STATE: CA ZIP: 92067 BUSINESS PHONE: 8587594630 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: 6450 VIA REAL CITY: CARPINTERIA STATE: CA ZIP: 93013 BUSINESS PHONE: 8056846614 MAIL ADDRESS: STREET 1: 6450 VIA REAL CITY: CARPINTERIA STATE: CA ZIP: 93013 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2004-01-05 0 0001036188 QAD INC qadi 0001109425 VAN CUYLENBURG PETER 1 0 0 0 Common Stock 2004-01-05 4 M 0 7500 4.1875 A 7500 D Common Stock 2004-01-05 4 S 0 7500 12.5109 D 0 D Common Stock 2004-01-05 4 M 0 7500 5 A 7500 D Common Stock 2004-01-05 4 S 0 7500 12.5109 D 0 D Non-Qualified Stock Option (right to buy) 4.1875 2004-01-05 4 M 0 7500 4.1875 A 1999-11-25 2006-11-25 Common Stock 7500 0 D Non-Qualified Stock Option (right to buy) 5 2004-01-05 4 M 0 7500 5 A 2000-11-24 2007-11-24 Common Stock 7500 0 D Betty Weinert, Attorney in fact for Peter Van Cuylenburg 2004-01-06 EX-24 3 poarpeter.txt POWER OF ATTORNEY SEC SECTION 16 REPORTS CONFIRMING STATEMENT The undersigned hereby authorizes and designates Betty Weinert to file with the Securities and Exchange Commission and on behalf of the undersigned, an Initial Statement of Beneficial Ownership on Form 3, a Statement of Changes in Beneficial Ownership on Form 4, and an Annual Statement of Beneficial Ownership of Securities on Form 5, and any amendments or supplements thereto. This authorization shall include the authority to sign such forms in the name of the undersigned and to file with the Securities and Exchange Commission the Confirming Statement, along or with any amendments or supplements to any filed Form 3, Form 4 or Form 5. This authorization shall be effective for as long as the undersigned is subject to the reporting requirements of Section 16. IN WITNESS WHEREOF, the undersigned has executed this Confirming Statement as of Januaary , 2004. /s/ Peter Van Cuylenburg _________________________ Peter Van Cuylenburg -----END PRIVACY-ENHANCED MESSAGE-----