-----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, OTpwDKxdQbcBqXy7tSAFMbHDzV+7Zdz/YpwkgE6ou+njDslNzAStrXZZIHiUiR4C fLf7cM6ydk5NnxWMpgq0sA== 0001181431-05-054617.txt : 20051003 0001181431-05-054617.hdr.sgml : 20051003 20051003165114 ACCESSION NUMBER: 0001181431-05-054617 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050930 FILED AS OF DATE: 20051003 DATE AS OF CHANGE: 20051003 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INFORMATION ANALYSIS INC CENTRAL INDEX KEY: 0000803578 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 541167364 STATE OF INCORPORATION: VA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 11240 WAPLES MILL RD #400 CITY: FAIRFAX STATE: VA ZIP: 22030 BUSINESS PHONE: 7033833000 MAIL ADDRESS: STREET 1: 2222 GALLOWS ROAD STREET 2: SUITE 300 CITY: DUNN LORING STATE: VA ZIP: 22027 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROSENBERG SANDOR CENTRAL INDEX KEY: 0001055808 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22405 FILM NUMBER: 051118227 BUSINESS ADDRESS: STREET 1: C/O INFORMATION ANALYSIS INC STREET 2: 11240 WAPLES MILL ROAD SUITE 400 CITY: FAIRFAX STATE: VA ZIP: 22030 BUSINESS PHONE: 7033833000 MAIL ADDRESS: STREET 1: 11240 WAPLES MILL ROAD STREET 2: SUITE 400 CITY: FAIRFAX STATE: VA ZIP: 22030 4 1 rrd93749.xml FORM 4 ROSENBERG CONV NOTE X0202 4 2005-09-30 0 0000803578 INFORMATION ANALYSIS INC IAIC 0001055808 ROSENBERG SANDOR C/0 INFORMATION ANALYSIS INCORPORATED 11240 WAPLES MILL RD, STE 201 FAIRFAX VA 22030 1 1 1 0 Chief Executive Officer Common Stock 1832800 D Subordinated Convertible Note 0.25 2005-09-30 2005-09-30 4 M 0 20000 20000 D 2001-09-21 2005-09-30 Common Stock 80000 0 D Sandor Rosenberg exercised the conversion privilege on a $20,000 subordinated convertible note at $0.25 per share for a total of 80,000 shares of restricted (unregistered) common stock. Matthew T. Sands, Controller 2005-10-03 -----END PRIVACY-ENHANCED MESSAGE-----