SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
Form 3 Holdings Reported.
X
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
LETIZIA NICHOLAS J

(Last) (First) (Middle)
2 CHRISTIE HEIGHTS STREET

(Street)
LEONIA NJ 07605

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
INFOCROSSING INC [ IFOX ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP, Gen'l Counsel, Secretary
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2003
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Option to purchase Infocrossing common stock $9 11/02/1998 4A 8,000 11/02/2003(1) 11/01/2008 Infocrossing common stock 8,000 $0 8,000 D
Option to purchase Infocrossing common stock $9.3438 11/04/1999 4A 20,000 11/04/2004(2) 11/03/2009 Infocrossing common stock 20,000 $0 28,000 D
Option to purchase Infocrossing common stock $6.2685 02/04/2002 4A 10,000 02/04/2005(3) 02/03/2012 Infocrossing common stock 10,000 $0 38,000 D
Option to purchase Infocrossing common stock $9.91 12/15/2003 4A 15,050 12/15/2006(4) 12/14/2013 Infocrossing common stock 15,050 $0 53,050 D
Explanation of Responses:
1. Vests at 1/5 per year beginning 11/2/99, fully vested 11/2/03
2. Vests at 1/5 per year beginning 11/4/00, fully vested 11/4/04
3. Vests as to 1/3 on 2/4/03, then vests as to 1/36 each month for the 24 months ending 2/4/05
4. Vests as to 50 on 12/15/03, vests as to 5000 on 12/15/04, then vests as to 1/36 of 15000 each month in the 24 months ending 12/15/06
NICHOLAS J. LETIZIA 05/07/2004
** 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 4 (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.