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