-----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, T14rLDMzHYyzrTJ7FBl8Tict1hjYs63Ldk4RTbq4rsuI+U6mi8eHsMz/bs+yTJdN J0LjzJX4gz9le4fCkbL9+Q== 0001017813-05-000068.txt : 20051110 0001017813-05-000068.hdr.sgml : 20051110 20051110144610 ACCESSION NUMBER: 0001017813-05-000068 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051109 FILED AS OF DATE: 20051110 DATE AS OF CHANGE: 20051110 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: 051193365 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 2005-11-09 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 2005-11-08 2005-11-08 4 A 0 279465 3.44 A 3699237 D Receipt of common stock in satisfaction of accrued dividends on preferred stock. John Pappajohn 2005-11-09 -----END PRIVACY-ENHANCED MESSAGE-----