-----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, MULHNXFwe1SfCJlBT1mvNmqTjMgxyk43gG5ahNAt5ZvClrRoiwVyA3WOAotqOv5j sfK2g2lBE6qJqHuA7Xpy0g== 0001017813-06-000002.txt : 20060103 0001017813-06-000002.hdr.sgml : 20060102 20060103173607 ACCESSION NUMBER: 0001017813-06-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060103 FILED AS OF DATE: 20060103 DATE AS OF CHANGE: 20060103 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: 06503647 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 2006-01-03 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 2005-12-29 2005-12-29 4 P 0 100000 1.05 A 3799237 D Series C Preferred 0 Common 110000 11000 D Series D Preferred 0 Common 4473220 447322 D None John Pappajohn 2006-12-29 -----END PRIVACY-ENHANCED MESSAGE-----