UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 4
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
( ) Check this box if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue. See Instructions 1(b).
1. Name and Address of Reporting Person
Hardy, A. Thomas
c/o 2555 Davie Road, Suite 110
Fort Lauderdale, FL 33317
USA
2. Issuer Name and Ticker or Trading Symbol
ProxyMed, Inc.
PILL
3. IRS or Social Security Number of Reporting Person (Voluntary)
4. Statement for Month/Year
12/31/2001
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other
(specify below)
Senior Vice Pres., Laboratory Services
7. Individual or Joint/Group Filing (Check Applicable Line)
(X) Form filed by One Reporting Person
( ) Form filed by More than One Reporting Person
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Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect |
| Transaction | or Disposed of (D) | Securities |ect | Beneficial Ownership |
| | | | Beneficially |(D)or | |
| | | | | A/| | Owned at |Indir | |
| Date |Code|V| Amount | D | Price | End of Month |ect(I)| |
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Common Stock, $.001 par val|12/26/|C |V|22,988* |A |$13.05* |41,142** |D | |
ue |01 | | | | | | | | |
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Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned |
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1.Title of Derivative |2.Con- |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of|
Security |version |Transaction | rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect |
|or Exer | | | rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial |
|cise | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership |
|Price of| | | posed of(D) |Day/Year) | |rity |Benefi |or | |
|Deriva- | | | |Date |Expir| | |ficially |Ind| |
|tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| |
|Secu- | | | | | D |cisa-|Date | of Shares | |End of |ct | |
|rity |Date |Code|V| Amount | |ble | | | |Month |(I)| |
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Series C 7% Conv. Pref|$13.05 |12/26|C |V|20,000** |D |09/15|N/A |Common Stock|20,000*|$15.00*|52,091** |D | |
erred Stock | |/01 | | | | |/01 | | |* |* | | | |
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Explanation of Responses:
*Issued as a result of Reporting Person's participating in a Conversion
Offering dated 12/12/01 applicable to
holders of Series C 7% Convertible Preferred Stock. A total of 2,988 of these
shares are restricted securities
unless or until such time as the shares are
registered.
**Adjusted to reflect the 1-for-15 reverse stock split on 8/21/01. Amount of
Securities Beneficially Owned at End
of Month also includes dividend shares acquired since last
report.
SIGNATURE OF REPORTING PERSON
A. Thomas Hardy
DATE
January 8, 2002