Washington, D.C. 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(f) of the Investment Company Act of 1940
[ ] Check this box if no longer subject of Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
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1. Name and Address of Reporting Person*
Carfora Alfred
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(Last) (First) (Middle)
c/o MIM Corporation, 100 Clearbrook Road
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(Street)
Elmsford New York 10523
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
MIM Corporation (MIMS)
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Statement for Month/Day/Year
December 20, 2002
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5. If Amendment, Date of Original (Month/Day/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[ ] Director [ ] 10% Owner
[x] Officer (give title below) [ ] Other (specify below)
President and Chief Operating Officer
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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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4. 6.
Securities 5. Owner-
Acquired (A) or Amount of ship
3. Disposed of (D) Securities Form: 7.
2A Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of
2. Deemed Code ------------------------ Owned at End (D) or Indirect
1. Transaction Execution (Instr. 8) (A) of Month Indirect Beneficial
Title of Security Date Date, if any ---------- Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4)
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Common Stock,
Par Value $.0001 12/20/02 P 30,000 A $5.8556 30,000 D
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* If the Form is filed by more than one Reporting Person, see Instruction
4(b)(v).
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
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FORM 4 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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9. 10.
Number Owner-
of ship
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
of 3A Derivative 6. of Underlying 8. ities Secur- of
Exer- Deemed 4. Securities Date Securities Price Bene- ity: In-
cise 3. Execu- Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- tion action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Date, if Code of(D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date any (Instr. (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship
Security Secur- Day/ day/ ----- ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) year Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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/s/ Alfred Carfora December 23, 2002
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**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 provided is insufficient, see Instruction 6 for procedures.
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