-----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, V0Y/rh7l/5Tzw7G0w9/ib9sUC342fVg9vEZxRP9xYHk3r3Pf4L17+BnoQWgoOOAg 6d3EpfHLxjzSxkJnwIvrHw== 0000910195-03-000003.txt : 20030212 0000910195-03-000003.hdr.sgml : 20030212 20030212121713 ACCESSION NUMBER: 0000910195-03-000003 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021231 FILED AS OF DATE: 20030212 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: INNOTRAC CORP CENTRAL INDEX KEY: 0001051114 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 581592285 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23741 FILM NUMBER: 03553183 BUSINESS ADDRESS: STREET 1: 6655 SUGARLOAF PARKWAY CITY: DULUTH STATE: GA ZIP: 30097 BUSINESS PHONE: 678-584-4000 MAIL ADDRESS: STREET 1: 1828 MECA WAY CITY: NORCROSS STATE: GA ZIP: 30093 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: DORFMAN SCOTT D CENTRAL INDEX KEY: 0001061754 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 1828 MECA WAY CITY: NORCROSS STATE: GA ZIP: 30093 BUSINESS PHONE: 7707172000 MAIL ADDRESS: STREET 1: 1828 MECA WAY CITY: NORCROSS STATE: GA ZIP: 30093 5 1 dorfmanform5.htm SCOTT DORFMAN FORM 5 Form 5

 

Form 5

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940

OMB APPROVAL

OMB Number: 3235-0362

Expires: January 31, 2005

[   ]

Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See instructions 1(b).

Estimated average burden
hours per response. . . 1.0

[   ] Form 3 Holdings Reported  
[   ] Form 4 Transactions Reported  

1.  Name and Address of Reporting Person*

 Dorfman, Scott D.

2. Issuer Name and Ticker or Trading Symbol

Innotrac Corporation (INOC)

6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_X_ Director
                         _X__ 10% Owner
_X__ Officer (give             ____ Other (specify
                  title below)                     below)

Chairman of the Board, President and CEO

(Last)     (First)     (Middle)

 

 6655 Sugarloaf Parkway

3. I.R.S. Identification
    Number
    of Reporting Person,
    if an entity
    (voluntary)
4.  Statement for
     Month/Year

December 31, 2002

 (Street)

 

 Duluth, Georgia  30097

5. If Amendment, Date of
    Original
    (Month/Year)

 

7. Individual or Joint/Group Filing
(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

(City)     (State)     (Zip)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security
    (Instr. 3)
2. Transaction
    Date

(Month/Day/Year)

2A. Deemed
       Execution Date, if
       any
       (Month/Day/Year)
3. Transaction
    Code
    (Instr. 8)
4. Securities Acquired (A)
    or Disposed of (D)
    (Instr. 3, 4 and 5)
5. Amount of
    Securities
    Beneficially Owned
    at the end of
    Issuer's
    Fiscal Year
    (Instr. 3 and 4)
6. Ownership
    Form:
    Direct (D)
    or Indirect (I)
    (Instr. 4)
7. Nature of
    Indirect
    Beneficial
    Ownership
   (Instr. 4)
Code V Amount

(A) or (D)

Price


 









 









 









 








* If the form is filed by more than one reporting person, see instruction 4(b)(v).


 

Form 5 (continued)

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

1. Title of
    Derivative
    Security
    (Instr.3)
2. Conversion
    or Exercise
    Price of
    Derivative
    Security
3. Transaction
    Date
   (Month/
   Day
   Year)
3A. Deemed
       Execution
       Date,
       if any
     (Month
      /Day
     Year)
4. Trans-
     action
    Code
    (Instr. 8)
5. Number of
    Derivative
    Securities     Acquired
    (A) or
    Disposed
    of (D)
    (Instr. 3, 4
    and 5)
6. Date Exercisable
    and Expiration
     Date

    (Month/Day/Year)

7. Title and
    Amount of
    Underlying
    Securities
    (Instr. 3
    and 4)

8. Price of
    Derivative
    Security
    (Instr. 5)
9. Number of
    Derivative
    Securities
    Beneficially
    Owned
    at End
    of Year
    (Instr. 4)
10. Ownership
       of
      Derivative
      Security:
      Direct (D)
      or
      Indirect
      (I)
      (Instr. 4)
11. Nature
      of
      Indirect
      Beneficial
      Ownership
      (Instr.
       4)
       

 

(A)

(D)

Date
Exercisable

Expiration
Date

Title

Amount
or
Number
of Shares
Stock Option
(right to buy)

$3.40

3-11-02

 

A

50,000


(1)

3-11-12

Common Stock

50,000


50,000

D

 













































Explanation of Responses:

(1) Fifty percent (50%) of such option vests on the second anniversary of the grant date and twenty-five (25%) vests on each of the third and fourth anniversaries of the grant date.

 

   /s/ Scott D. Dorfman


Scott D. Dorfman

**Signature of Reporting Person

1-31-03


Date

 

** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure
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