SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
BARNHART DONALD G

(Last) (First) (Middle)
C/O GOAMERICA,
HACKENSACK AVENUE

(Street)
HACKENSACK, NJ 07601

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/10/2004
3. Issuer Name and Ticker or Trading Symbol
GOAMERICA INC [ GOAM ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
CHIEF FINANCIAL OFFICER
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock, par value $0.01 per share 7,977 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (right to buy) (1) 12/15/2012 Common Stock 81,250 $0.29 D
Employee Stock Option (right to buy) (2) 07/28/2012 Common Stock 20,000 $0.33 D
Employee Stock Option (right to buy) (3) 01/16/2012 Common Stock 7,500 $1.89 D
Employee Stock Option (right to buy) 03/12/2004 03/29/2011 Common Stock 10,000 $2.03 D
Employee Stock Option (right to buy) 03/12/2004 01/05/2010 Common Stock 28,000 $5.02 D
Employee Stock Option (right to buy) 03/12/2004 08/02/2009 Common Stock 12,000 $1.31 D
Explanation of Responses:
1. 49,630 options immediately exercisable; balance of options vest ratably through December 2006
2. 5,000 options immediately exercisable; 25% of options granted vest on July 29 in each of 2004, 2005 and 2006
3. 4,581 options immediately exercisable; balance of options vest ratably through January 2006
/s/ Donald G. Barnhart 03/12/2004
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** 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.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.