1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Employee Stock Option (right to buy)
(1)
|
10/31/2002(2)
|
10/31/2012 |
Common Stock
|
12,500
|
$
8.08
|
D
|
Â
|
Employee Stock Option (right to buy)
(1)
|
02/08/2003(2)
|
02/08/2013 |
Common Stock
|
5,000
|
$
11.35
|
D
|
Â
|
Employee Stock Option (right to buy)
(1)
|
02/03/2005(2)
|
02/03/2015 |
Common Stock
|
10,000
|
$
15.47
|
D
|
Â
|
Employee Stock Option (right to buy)
(1)
|
05/18/2005(3)
|
05/18/2015 |
Common Stock
|
5,000
|
$
12.7
|
D
|
Â
|
Employee Stock Option (right to buy)
(1)
|
05/18/2005(3)
|
05/18/2015 |
Common Stock
|
5,000
|
$
13.97
|
D
|
Â
|
Employee Stock Option (right to buy)
(1)
|
05/18/2005(3)
|
05/18/2015 |
Common Stock
|
5,000
|
$
15.37
|
D
|
Â
|
Employee Stock Option (right to buy)
(4)
|
02/15/2007(5)
|
02/15/2017 |
Common Stock
|
15,000
|
$
25
|
D
|
Â
|
* |
If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** |
Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) |
Granted pursuant to the Per-Se Technologies, Inc. Non-Qualified Stock Option Plan for Non-Executive Employees, as amended (the "Non-Executive Stock Option Plan"). |
(2) |
These stock options vest and become exercisable at the rate of one-third per year over a three-year period beginning on the date of grant, and are subject in all respects to the terms and conditions of the Non-Executive Stock Option Plan. |
(3) |
These stock options vest and become exercisable at the rate of one-fourth per year over a four-year period beginning on the date of grant, and are subject in all respects to the terms and conditions of the Non-Executive Stock Option Plan. |
(4) |
Granted pursuant to the Second Amended and Restated Per-Se Technologies, Inc. Non-Qualified Stock Option Plan, as amended (the "Executive Stock Option Plan"). |
(5) |
These stock options vest and become exercisable at the rate of one-third per year over a three-year period beginning on the date of grant, and are subject in all respects to the terms and conditions of the Executive Stock Option Plan. |