-----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, TjJs/PCOlJezWKVjnAjM1MWK0Jx+fy7ylCeDmQiyWiX/4XmOFeuc5MU9ZH0zOn44 k8feh7En7G1z8qQITqt0Wg== 0001017813-05-000049.txt : 20050611 0001017813-05-000049.hdr.sgml : 20050611 20050609141931 ACCESSION NUMBER: 0001017813-05-000049 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050516 FILED AS OF DATE: 20050609 DATE AS OF CHANGE: 20050609 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PATIENT INFOSYSTEMS INC CENTRAL INDEX KEY: 0001017813 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 161476509 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 46 PRINCE ST CITY: ROCHESTER STATE: NY ZIP: 14607 BUSINESS PHONE: 5852427200 MAIL ADDRESS: STREET 1: 46 PRINCE ST CITY: ROCHESTER STATE: NY ZIP: 14607 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PAPPAJOHN JOHN CENTRAL INDEX KEY: 0000897464 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22319 FILM NUMBER: 05887186 BUSINESS ADDRESS: STREET 1: C/O EQUITY DYNAMICS STREET 2: 2116 FINANCIAL CENTER CITY: DES MOINES STATE: IA ZIP: 50309 BUSINESS PHONE: 631-870-5100 MAIL ADDRESS: STREET 1: 1660 WALT WHITMAN ROAD STREET 2: SUITE 105 CITY: MELVILLE STATE: NY ZIP: 11747 4 1 form4_ex.xml X0202 4 2005-05-16 0 0001017813 PATIENT INFOSYSTEMS INC PATY 0000897464 PAPPAJOHN JOHN C/O EQUITY DYNAMICS 2116 FINANCIAL CENTER DES MOINES IA 50309 1 0 1 0 Common Stock 2005-05-16 4 X 0 567212 1.68 A 3419772 D Series D Preferred Stock 2005-05-16 4 X 0 23089 10 A 447322 D Net-share exercise of a warrant to purchase 816,667 shares of the Company's common stock using the market price of $5.50 per share. Net-share exercise of a warrant to purchase 28,220 shares of the Company's series D preferred stock using the market price of $5.50 per common equivilent share. John Pappajohn 2005-06-02 -----END PRIVACY-ENHANCED MESSAGE-----