-----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, Mar5vfGu8+x0XFPVRaGSrBvDJSJadHI9N0I4WMLjtzkt0fE/MbUnLNdGngX4UjZR bgMxu1J63RCRKrLooq9PaA== 0001201800-05-000232.txt : 20050921 0001201800-05-000232.hdr.sgml : 20050921 20050921172037 ACCESSION NUMBER: 0001201800-05-000232 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050919 FILED AS OF DATE: 20050921 DATE AS OF CHANGE: 20050921 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Levin Michael CENTRAL INDEX KEY: 0001319848 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20660 FILM NUMBER: 051096459 BUSINESS ADDRESS: BUSINESS PHONE: (212) 844-3677 MAIL ADDRESS: STREET 1: C/O METROPOLITAN VENTURE PARTNERS STREET 2: 257 PARK AVENUE SOUTH CITY: NEW YORK STATE: NY ZIP: 10010 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 2005-09-19 1 0000879703 DIRECT INSITE CORP DIRI.OB 0001319848 Levin Michael 257 PARK AVENUE SOUTH 15TH FLOOR NEW YORK NY 10010 1 0 0 0 Common Stock 2005-09-19 4 A 0 13097 A 15097 I Indirect Common Stock 2005-09-19 4 D 0 13097 D 2000 D Common Stock 2005-09-19 4 A 0 13097 A 15097 D Series C Redeemable Preferred Stock 2003-12-16 4 P 0 290 1000.00 A 290 I Indirect Common Stock Purchase Warrant (Right to Buy) .90 2005-03-30 4 A 0 100000 .90 A 2005-03-30 2012-03-29 Common Stock 100000 100000 I Indirect CommonStock Warrant (Right to Buy) .9225 2004-05-26 4 A 0 135502 .9225 A 2006-03-15 2009-03-15 Common Stock 135502 135502 I Indirect Common Stock Warrant (Righ to Buy) .9348 2004-05-26 4 A 0 176508 .9348 A 2005-12-18 2008-12-18 Common Stock 176508 176508 I Indirect Option to Purchase .75 2003-12-01 4 A 0 250000 .75 A 2005-12-01 2008-12-01 Common Stock 250000 250000 I Indirect 2002 Stock Option Plan .75 2003-12-01 4 A 0 31000 .75 A 2005-12-01 2008-12-01 Common Stock 31000 31000 I Indirect 2002 A Stock Option Plan .75 2003-12-01 4 A 0 47000 .75 A 2005-12-01 2008-12-01 Common Stock 47000 47000 I Indirect 2003 Stock Option Plan .75 2003-12-01 4 A 0 47000 .75 A 2005-12-01 2008-12-01 Common Stock 47000 47000 I Indirect 2003 A Stock Option Plan .75 2003-12-01 4 A 0 25000 .75 A 2005-12-01 2008-12-01 Common Stock 25000 25000 I Indirect 2003 A Stock Option Plan 1.26 2003-07-16 4 A 0 8000 1.26 A 2005-03-31 2006-04-01 Common Stock 8000 8000 I Indirect Series A Convertible Preferred Stock 1.40 2003-06-03 4 A 0 178570 1.40 A 2003-06-30 2008-09-25 Common Stock 178570 178570 I Indirect 2003 A Stock Option Plan 1.40 2003-03-31 4 A 0 75000 1.40 A 2005-03-31 2006-04-01 Common Stock 75000 75000 I Indirect Common Stock Warrant (Right to Buy) 2.125 2003-12-10 4 A 0 150000 2.125 A 2005-12-10 2008-12-10 Common Stock 150000 150000 I Indirect Series A Convertible Preferred Stock 2.14 2003-01-02 4 A 0 23365 21.40 A 2003-01-02 2008-09-25 Common Stock 233650 23365 I Indirect 2002 A Stock Option Plan 2.00 2002-12-29 4 A 0 30000 2.00 A 2007-09-30 Common Stock 30000 30000 I Indirect Series A Convertible Preferred Stock 2.14 2002-10-04 4 A 0 934580 2.14 A 2002-10-04 2008-09-25 Common Stock 934580 934580 I Indirect The securities are owned by Metropolitan Venture Partners II, L.P. ("MetVP"). the Reporting Person is a managing director of MetVP. In addition, the Reporting Person is a limited partner in Metropolitan Venture Partners ("Advisors"), L.P. ("MetVP Advisors"), which is the general partner of MetVP and is on the board of directors and is a shareholder of Metropolitan Venture Partners Corp. ("MetVP Corp."), which is the general partner of MetVP Advisors. As a result of the foregoing, the Reporting Person may be deemed to own beneficially and indirectly the securities. The Reporting Person disclaims beneficial ownership of the securities except to the extent of his pecuniary interest therein. Shares were transferred to Metropolitan Venture Partners II, L.P. ("MetVP") by a managing director of Met V.P. Reporting Person transferred the shares to MetVP. Shares were issued pursuant to the 2004 Stock Issuance/Stock Option Plan as payment for services rendered as a board member for the fiscal year to date. The reported number of shares of Common Stock underlying the Series A Convertible Preferred Stock reflects the initial conversion rate of 1-for-10 pursuant to the terms of Series A Convertible Preferred Stock. Options vest at the rate of 10,000 options on June 30, 2003, 10,000 options on June 30, 2004 and 10,000 options on June 30, 2005. Footnote (7) Reporting Person may be deemed to be a director for purposes of Section 16 of the Securities Exchange Act of 1934, as amended (the "Exchange Act") by reason of its right to nominate one person to serve on the Board of Directors of Direct Insite Corp. (the "Company") in accordance with terms and conditions of a Stock Purchase and Registration Rights Agreement dated as of September 25, 2002 by and between Reporting Person and the Company. /s/Michael Levin 2005-09-21 -----END PRIVACY-ENHANCED MESSAGE-----