BUSINESS ADDRESS:
STREET 1: 14255 49TH STREET NORTH, BLDG. 1
CITY: CLEARWATER
STATE: FL
ZIP: 33762
BUSINESS PHONE: 7275192000
MAIL ADDRESS:
STREET 1: 14255 49TH STREET NORTH, BLDG. 1
CITY: CLEARWATER
STATE: FL
ZIP: 33762
STATEMENT FOR MONTH/YEAR: JUNE 2001
COMPANY DATA:
COMPANY CONFORMED NAME: KEITH E. SIROIS
CENTRAL INDEX KEY: 0001137969
STANDARD INDUSTRIAL CLASSIFICATION:
RELATIONSHIP: OFFICER
FILING VALUES:
FORM TYPE: 4
BUSINESS ADDRESS:
STREET 1: 14255 49TH STREET NORTH
STREET 2: BUILDING 1
CITY: CLEARWATER
STATE: FL
ZIP: 33762
MAIL ADDRESS:
STREET 1: 16303 DOBSON COURT
STREET 2:
CITY: TAMPA
STATE: FL
ZIP: 33647
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Table I Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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Title of Non-Derivative Security |
Transaction Date |
Transaction Code |
Security Amount |
Securities Acquired/ Disposed (A/D) |
Securities Price |
Amount Beneficially Owned at End of the Month |
Ownership Direct or Indirect |
Nature of Indirect Beneficial Ownership |
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Table II Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) |
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Title of Derivative Security |
Conversion or Exercise Price |
Transaction Date |
Transaction Code |
Securities Acquired/ Disposed |
Date Exercisable |
Expiration Date |
Title |
Number of Shares |
Price of Security |
Number Beneficially Owned End of Month |
Ownership Direct or Indirect |
Nature of Indirect Beneficial Ownership |
Stock Option (Right to Buy) |
$5.5500 |
06/14/01 |
A |
A |
06/14/02 |
06/14/11 |
C |
30,000* |
45,833 |
D |
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Explanation of Responses:
* Options to be vested at 10,000 on 6/14/02, 10,000 on 6/14/03, and 10,000 on 6/14/04.
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Signature of Reporting Person Date