0001144204-12-048970.txt : 20120830
0001144204-12-048970.hdr.sgml : 20120830
20120830145208
ACCESSION NUMBER: 0001144204-12-048970
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120828
FILED AS OF DATE: 20120830
DATE AS OF CHANGE: 20120830
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Conmed Healthcare Management, Inc.
CENTRAL INDEX KEY: 0000943324
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090]
IRS NUMBER: 421297992
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 7250 PARKWAY DR.
STREET 2: SUITE 400
CITY: HANOVER
STATE: MD
ZIP: 21076
BUSINESS PHONE: 5152221717
MAIL ADDRESS:
STREET 1: 7250 PARKWAY DR.
STREET 2: SUITE 400
CITY: HANOVER
STATE: MD
ZIP: 21076
FORMER COMPANY:
FORMER CONFORMED NAME: PACE HEALTH MANAGEMENT SYSTEMS INC
DATE OF NAME CHANGE: 19960118
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: 001-34408
FILM NUMBER: 121065511
MAIL ADDRESS:
STREET 1: 1660 WALT WHITMAN ROAD
STREET 2: SUITE 105
CITY: MELVILLE
STATE: NY
ZIP: 11747
4
1
v322709_4.xml
OWNERSHIP DOCUMENT
X0306
4
2012-08-28
1
0000943324
Conmed Healthcare Management, Inc.
CONM
0000897464
PAPPAJOHN JOHN
C/O CONMED HEALTHCARE MANAGEMENT, INC.
7250 PARKWAY DRIVE, SUITE 400
HANOVER
MD
21076
1
0
1
0
Common Stock
2012-08-28
4
D
0
1539012
3.95
D
0
D
Common Stock
2012-08-28
4
D
0
5000
3.95
D
0
I
By Halkis Ltd.
Common Stock
2012-08-28
4
D
0
5496
3.95
D
0
I
By John and Mary Pappajohn Scholarship Foundation
Employee Stock Option (right to buy)
2.55
2012-08-29
4
D
0
40000
1.40
D
2017-04-03
Common Stock
40000
0
D
Pursuant to the Agreement and Plan of Merger, dated as of July 16, 2012, by and among Conmed Healthcare Management, Inc., Correct Care Solutions, LLC and Hanover Merger Sub, Inc. (the "Merger Agreement"), all shares of common stock were cancelled and converted into the right to receive the merger consideration of $3.95 per share in the merger.
The reporting person is the controlling shareholder of Halkis Ltd. which owned the 5,000 shares reported herein.
The reporting person indirectly owned the 5,496 shares being reported herein via the John and Mary Pappajohn Scholarship Foundation.
Pursuant to the Merger Agreement, this option vested in full and was cancelled in the merger in exchange for a cash amount equal to the number of shares underlying this option multiplied by the difference between the per share merger consideration of $3.95 and the per share exercise price of this option.
/s/ John Pappajohn
2012-08-29