4 1 e119329.txt ------------------------------ OMB APPROVAL ------------------------------ OMB Number: 3235-0287 Expires: January 31, 2005 Estimated average burden hours per response . . . . 0.5 ------------------------------ U.S. SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 4 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(f) of the Investment Company Act of 1940 [_] Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). (Print or Type Responses) _______________________________________________________________________________ 1. Name and Address of Reporting Person* Hensel Emil -------------------------------------------------------------------------------- (Last) (First) (Middle) 2538 NW 64th Blvd., -------------------------------------------------------------------------------- (Street) Boca Raton FL 33496 -------------------------------------------------------------------------------- (City) (State) (Zip) ________________________________________________________________________________ 2. Issuer Name and Ticker or Trading Symbol Cross Country, Inc. (CCRN) ________________________________________________________________________________ 3. IRS Identification Number of Reporting Person, if an Entity (Voluntary) ________________________________________________________________________________ 4. Statement for Month/Day/Year 2/28/03 and 4/10/03 ________________________________________________________________________________ 5. If Amendment, Date of Original (Month/Day/Year) ________________________________________________________________________________ 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [_] 10% Owner [X] Officer (give title below) [_] Other (specify below) Chief Financial Officer ________________________________________________________________________________ 7. 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 Acquired, Disposed of, or Beneficially Owned ================================================================================
5. 6. 4. Amount of Owner- 2A. Securities Acquired (A) or Securities ship Deemed 3. Disposed of (D) Beneficially Form: 7. Execu- Transaction (Instr. 3, 4 and 5) Owned Follwng Direct Nature of 2.Trans- tion Code ------------------------------- Reported (D) or Indirect 1. action Date, (Instr. 8) (A) Transaction(s) Indirect Beneficial Title of Security Date if any ------------ Amount or Price (Instr. 3 (I) Ownership (Instr. 3) (mm/dd/yy) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 2/28/03 G (1) V 7,000 D(1) (1) ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 4/10/03 G (1) V 40,051 D(1) (1) 5,455 D ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 2/28/03 G (1) V 7,000 A(1) (1) ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 4/10/03 G (1) V 40,051 A(1) (1) 89,400 I By wife ------------------------------------------------------------------------------------------------------------------------------------ 8,702 I By son (2) ------------------------------------------------------------------------------------------------------------------------------------ 8,702 I By son (2) ------------------------------------------------------------------------------------------------------------------------------------ 8,761 I By daugther ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
(Over) SEC 1474 (9-02) 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 4(b)(v). 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 control number 1 of 2 FORM 4 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ================================================================================
10. 9. Owner- Number ship of Form 2. Deriv- of Conver- 5. 7. ative Deriv- 11. sion Number of Title and Amount Secur- ative Nature or Derivative 6. of Underlying 8. ities Secur- of Exer- 3A. 4. Securities Date Securities Price Bene- ies: In- cise 3. Deemed Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Beneficially direct Price Trans- Execution action or Disposed Expiration Date ---------------- Deriv- Owned Owned Bene- 1. of action Date, Code of(D) (Month/Day/Year) Amount ative Following at ficial Title of Deriv- Date if any (Instr. (Instr. 3, ---------------- or Secur- Reported end Owner- Derivative ative (Month/ (Month/ 8) 4 and 5) Date Expira- Number ity Transaction(s)of month ship Security Secur- Day/ Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity Year) Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
Explanation of Responses: (1) Mr. Hensel transferred 7,000 shares to his wife on 2/28/03 and is transferring 40,051 shares of common stock to his wife on 4/10/03. (2) Mr. Hensel's two sons are adult and as a result, he disclaims beneficial ownership of these shares. Emil Hensel /s/Emil Hensel 4/10/03 --------------------------------------------- ----------------------- **Signature of Reporting Person Date Name of Reporting Person ** 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 provided is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. 2 of 2