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)
|
04/25/1998(2)
|
04/25/2008 |
Common Stock
|
333
|
$
16.125
|
D
|
Â
|
Employee Stock Option (right to buy)
(1)
|
10/23/1998(2)
|
10/23/2008 |
Common Stock
|
3,333
|
$
22.3125
|
D
|
Â
|
Employee Stock Option (right to buy)
(1)
|
07/28/1999(2)
|
07/28/2009 |
Common Stock
|
966
|
$
16.59
|
D
|
Â
|
Employee Stock Option (right to buy)
(1)
|
07/29/2000(2)
|
07/29/2010 |
Common Stock
|
500
|
$
10.875
|
D
|
Â
|
Employee Stock Option (right to buy)
(1)
|
03/07/2005(3)
|
03/07/2012 |
Common Stock
|
4,784
|
$
6
|
D
|
Â
|
Employee Stock Option (right to buy)
(1)
|
03/07/2005(3)
|
03/07/2012 |
Common Stock
|
4,784
|
$
6.72
|
D
|
Â
|
Employee Stock Option (right to buy)
(1)
|
03/07/2005(3)
|
03/07/2012 |
Common Stock
|
4,784
|
$
7.53
|
D
|
Â
|
Employee Stock Option (right to buy)
(1)
|
03/09/2005(2)
|
03/09/2015 |
Common Stock
|
50,000
|
$
14.021
|
D
|
Â
|
Employee Stock Option (right to buy)
(1)
|
05/18/2005(4)
|
05/18/2015 |
Common Stock
|
6,667
|
$
12.7
|
D
|
Â
|
Employee Stock Option (right to buy)
(1)
|
05/18/2005(4)
|
05/18/2015 |
Common Stock
|
6,667
|
$
13.97
|
D
|
Â
|
Employee Stock Option (right to buy)
(1)
|
05/18/2005(4)
|
05/18/2015 |
Common Stock
|
6,666
|
$
15.37
|
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-fifth per year over a five-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) |
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. |