-----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, KK/pRD0KKEt++SWPVrY3GN00QpdvTPOEcJiqXEHWmNo2FWllrhFNcGa+Gjhb8XG2 x2pmwIVaALU/ek5C9IRCMw== 0001201800-04-000228.txt : 20041115 0001201800-04-000228.hdr.sgml : 20041115 20041115170239 ACCESSION NUMBER: 0001201800-04-000228 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041115 FILED AS OF DATE: 20041115 DATE AS OF CHANGE: 20041115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PUCKETT M BERNARD CENTRAL INDEX KEY: 0001193877 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20660 FILM NUMBER: 041146447 MAIL ADDRESS: STREET 1: 1499 POST ROAD CITY: FAIRFIELD STATE: CT ZIP: 06824 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DIRECT INSITE CORP CENTRAL INDEX KEY: 0000879703 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] IRS NUMBER: 112895590 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 80 ORVILLE DR CITY: BOHEMIA STATE: NY ZIP: 11716 BUSINESS PHONE: 5162441500 MAIL ADDRESS: STREET 1: 80 ORVILLE DRIVE CITY: BOHEMIA STATE: NY ZIP: 11716 FORMER COMPANY: FORMER CONFORMED NAME: COMPUTER CONCEPTS CORP /DE DATE OF NAME CHANGE: 19930328 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2004-11-15 0000879703 DIRECT INSITE CORP DIRI.OB 0001193877 PUCKETT M BERNARD DIRECT INSITE CORP. 80 ORVILLE DRIVE BOHEMIA NY 11716 1 0 0 0 Common Stock 2004-11-15 4 A 0 27423 1.92 A 27423 D Series C Redeemable Preferred Stock 2004-01-06 4 P 0 50 1000.00 A 50 D 2002A Stock Option Plan Right to Buy .77 2004-02-19 4 A 0 50000 .77 A 2004-02-19 2009-02-28 Common Stock 50000 50000 D Common Stock Purchase Warrants .984 2004-01-06 4 P 0 50813 .984 A 2006-01-06 2009-01-06 Commoon Stock 50813 50813 D Payment for services as a Board Member for the fiscal year ending 12/31/04. 1,388 shares vest on the 19th of each month for 35 months commencing 2/19/04, 1,420 shares vest on the 19th of the 36th month. Warrants to purchase common stock are exercisable at the rate of no less than 500 shares at a time during the term of the Warrants. Bernard Puckett 2004-11-15 -----END PRIVACY-ENHANCED MESSAGE-----