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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 4
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities
Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935
or Section 30(h) of the Investment Company Act of 1940
o | Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. | Name and Address of Reporting Person* (Last, First, Middle) |
2. | Issuer Name and Ticker or Trading Symbol |
3. | I.R.S. Identification Number of
Reporting Person, if an entity (Voluntary) |
|||||||
Perner, Fred
|
HealthStream, Inc. (HSTM)
|
|
||||||||||
209 10th Ave. South Suite 450 |
4. | Statement for Month/Day/Year | 5. | If Amendment, Date of Original (Month/Day/Year) | ||||||||
04/16/2003 |
||||||||||||
(Street) | 6. | Relationship of Reporting Person(s) to Issuer (Check All Applicable) |
7. | Individual or Joint/Group Filing (Check Applicable Line) |
||||||||
Nashville, TN 37203 (City) (State) (Zip) |
o | Director | o | 10% Owner | x | Form filed by One Reporting Person | ||||||
x | Officer (give title below) | o | Form filed by More than One Reporting Person | |||||||||
o | Other (specify below) | |||||||||||
Sr. Vice-President |
||||||||||||
Reminder: | Report on a separate line for each class of securities beneficially owned directly or indirectly. | |
* | If the form is filed by more than one reporting person, see instruction 4(b)(v). | |
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||||||||||||||||
1. | Title of Security (Instr. 3) |
2. | Transaction Date (Month/Day/Year) |
2a. | Deemed Execution Date, if any. (Month/Day/Year) |
3. | Transaction Code (Instr. 8) |
4. | Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) |
5. | Amount of Securities Beneficially Owned Following Reported Transactions(s) (Instr. 3 and 4) |
6. | Ownership Form: Direct (D) or Indirect (I) (Instr. 4) |
7. | Nature of Indirect Beneficial Ownership (Instr. 4) |
|||||||||
Code | V | Amount | (A) or (D) |
Price | ||||||||||||||||||||
Common Stock | 12,875 | D | ||||||||||||||||||||||
Page 2
Page 3
Explanation of Responses:
Page 4
Table II - Derivative Securities
Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
1.
Title of Derivative
Security
(Instr. 3)2.
Conversion or Exercise
Price of Derivative
Security3.
Transaction
Date
(Month/Day/Year)3a.
Deemed Execution
Date, if any
(Month/Day/Year)4.
Transaction
Code
(Instr. 8)5.
Number of Derivative Securities
Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
Code
V
(A)
(D)
Employee Stock Option (right to buy)
$5.42
7/1/00
Employee Stock Option (right to buy)
$5.42
7/1/00
Employee Stock Option (right to buy)
$5.42
7/1/00
Employee Stock Option (right to buy)
$5.42
7/1/00
Employee Stock Option (right to buy)
$2.125
10/17/00
Employee Stock Option (right to buy)
$2.125
10/17/00
Employee Stock Option (right to buy)
$2.125
10/17/00
Employee Stock Option (right to buy)
$2.125
10/17/00
Employee Stock Option (right to buy)
$1.10
9/17/01
Employee Stock Option (right to buy)
$1.10
9/17/01
Employee Stock Option (right to buy)
$1.10
9/17/01
Employee Stock Option (right to buy)
$1.10
9/17/01
Employee Stock Option (right to buy)
$1.315
4/16/03
J
12,500
Employee Stock Option (right to buy)
$1.315
4/16/03
J
12,500
Employee Stock Option (right to buy)
$1.315
4/16/03
J
12,500
Employee Stock Option (right to buy)
$1.315
4/16/03
J
12,500
Table II - Derivative Securities
Acquired, Disposed of, or Beneficially Owned - Continued
(e.g., puts, calls, warrants, options, convertible securities)
6.
Date Exercisable and
Expiration Date
(Month/Day/Year)7.
Title and Amount
of Underlying Securities
(Instr. 3 and 4)8.
Price of Derivative
Security
(Instr. 5)9.
Number of Derivative
Securities Beneficially Owned
Following Reported Transaction(s)
(Instr. 4)10.
Ownership Form of
Derivative Security:
Direct (D) or Indirect (I)
(Instr. 4)11.
Nature of
Indirect
Beneficial
Ownership
(Instr. 4)
Date
ExercisableExpiration
Date
Title
Amount or
Number of
Shares
7/1/01
7/1/08
Common Stock
8,750
8,750
D
7/1/02
7/1/08
Common Stock
8,750
8,750
D
7/1/03
7/1/08
Common Stock
8,750
8,750
D
7/1/04
7/1/08
Common Stock
8,750
8,750
D
10/17/001
10/17/08
Common Stock
7,000
7,000
D
10/17/02
10/17/08
Common Stock
7,000
7,000
D
10/17/03
10/17/08
Common Stock
7,000
7,000
D
10/17/04
10/17/08
Common Stock
7,000
7,000
D
9/17/01
9/17/09
Common Stock
25,000
25,000
D
9/17/02
9/17/09
Common Stock
25,000
25,000
D
9/17/03
9/17/09
Common Stock
25,000
25,000
D
9/17/04
9/17/09
Common Stock
25,000
25,000
D
4/16/04
4/16/11
Common Stock
12,500
12,500
D
4/16/05
4/16/11
Common Stock
12,500
12,500
D
4/16/06
4/16/11
Common Stock
12,500
12,500
D
4/16/07
4/16/11
Common Stock
12,500
12,500
D
Fred Perner
4/17/2003
**Signature of Reporting Person
Date
**
Intentional misstatements or omissions of facts constitute
Federal Criminal Violations. See 18 U.S.C. 1001 and
15 U.S.C. 78ff(a).
Note:
File three copies of this Form, one of which must be manually
signed. If space is insufficient, see Instruction 6 for procedure.