BLACK TERRY C 4

4 · DATATRAK INTERNATIONAL INC · Filed Feb 25, 2005

Form 4

Period: 2005-02-23

Vice President - Finance

Transactions

Exercise/Conversion
Common Shares, without par value
2005-02-23$4.15/sh+10,000$41,500→ 20,000 total
Other
Employee stock option (right to buy)
1997-01-02$10.75/sh+0$0→ 15,000 total
Exercise: $10.75From: 1999-04-20Exp: 2007-01-02→ Common Shares (15,000 underlying)
Other
Employee stock option (right to buy)
1999-12-09$3.63/sh+0$0→ 46,250 total
Exercise: $3.63From: 2003-12-09Exp: 2009-12-09→ Common Shares (31,250 underlying)
Exercise/Conversion
Employee stock option (right to buy)
2005-02-23−10,000→ 0 total
Exercise: $4.15From: 1999-04-20Exp: 2005-07-01→ Common Shares (0 underlying)
Other
Employee stock option (right to buy)
2004-12-28$11.02/sh+0$0→ 66,063 total
Exercise: $11.02From: 2008-12-28Exp: 2014-12-28→ Common Shares (5,000 underlying)
Other
Employee stock option (right to buy)
2003-12-23$6.07/sh+0$0→ 55,063 total
Exercise: $6.07From: 2005-12-23Exp: 2013-12-23→ Common Shares (1,000 underlying)
Other
Employee stock option (right to buy)
2002-06-04$2.78/sh+0$0→ 54,063 total
Exercise: $2.78From: 2006-06-04Exp: 2012-06-04→ Common Shares (7,813 underlying)

Footnotes (4)

[F1]Includes 10,000 shares reported on a previously filed Form 3, Form 4 or Form 5.
[F2]Beneficial ownership of these securities was reported on a previously filed Form 3, Form 4 or Form 5.
[F3]Options were granted under the Company's Amended and Restated 1992 Share Incentive Plan in reliance upon the Exemption provided by Rule 16-b-3.
[F4]Options were granted under the Company's Amended and Restated 1996 Key Employees and Consultants Stock Option Plan in reliance upon the Exemption provided by Rule 16-b-3.

Documents

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