-----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, FB+1txzpmazrn7Pvt8UZdMwAxKUxYkK1F/HvvjRdl7TCINgyY7Oa/ob/az72TqoM P5ZWDQdTCcZaac0J243pqw== 0001157523-04-001417.txt : 20040213 0001157523-04-001417.hdr.sgml : 20040213 20040213145452 ACCESSION NUMBER: 0001157523-04-001417 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040213 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PROVO INTERNATIONAL INC CENTRAL INDEX KEY: 0001040850 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE COMMUNICATIONS (NO RADIO TELEPHONE) [4813] IRS NUMBER: 133950283 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE BLUE HILL PLAZA STREET 2: STE 1548 CITY: PEARL RIVER STATE: NY ZIP: 10965 BUSINESS PHONE: 9146238553 MAIL ADDRESS: STREET 1: ONE BLUE HILL PLAZA STREET 2: STE 1548 CITY: PEARL RIVER STATE: NY ZIP: 10965 FORMER COMPANY: FORMER CONFORMED NAME: FRONTLINE COMMUNICATIONS CORP DATE OF NAME CHANGE: 19981230 FORMER COMPANY: FORMER CONFORMED NAME: EASY STREET ONLINE INC DATE OF NAME CHANGE: 19970820 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: THATHAM VASAN CENTRAL INDEX KEY: 0001115950 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15673 FILM NUMBER: 04597997 BUSINESS ADDRESS: STREET 1: C/O FRONTLINE COMMUNICATIONS CORP STREET 2: 1 BLUE HILL PLAZA, PO BOX 1548 CITY: PEARL RIVER STATE: NY ZIP: 10965 BUSINESS PHONE: 9146238553 MAIL ADDRESS: STREET 1: C/O FRONTLINE COMMUNICATIONS CORP STREET 2: 1 BLUE HILL PLAZA, PO BOX 1548 CITY: PEARLE RIVER STATE: NY ZIP: 10965 5 1 a4572482_ex.xml X0201 5 2003-12-31 0 0 0 0001040850 PROVO INTERNATIONAL INC FNT 0001115950 THATHAM VASAN ONE BLUE HILL PLAZA, 7TH FLOOR PEARL RIVER NY 10965 0 1 0 0 Chief Financial Officer Common Stock 2004-01-30 5 J 0 0 0 A 163667 D Stock Options 9.09 2004-01-30 5 J 0 13334 0 A 1999-01-13 2004-01-13 Common 13334 66667 D Stock Options 8.48 2004-01-30 5 J 0 666 0 A 1999-09-21 2004-09-21 Common 666 66667 D Stock Options 7.13 2004-01-30 5 J 0 20000 0 A 1999-10-01 2004-10-01 Common 20000 66667 D Stock Options 7.88 2004-01-30 5 J 0 6667 0 A 1999-12-23 2004-12-23 Common 6667 66667 D Stock Options 2.16 2004-01-30 5 J 0 1333 0 A 2000-06-02 2005-06-02 Common 1333 66667 D Stock Options 0.75 2004-01-30 5 J 0 6667 0 A 2000-11-08 2005-11-08 Common 6667 66667 D Stock Options 0.33 2004-01-30 5 J 0 18000 0 A 2001-04-01 2006-04-01 Common 18000 66667 D Adjusted to give effect to a 2 for 3 reverse split of the Company's securities, which took effect on 01/31/04. Represents adjustment of previously issued stock options to reflect the two for three reverse split of the Company's securities, which took effect on January 30, 2004. Vasan Thatham 2004-02-13 -----END PRIVACY-ENHANCED MESSAGE-----