U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 3
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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
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1. Name and Address of Reporting Person*
Salzman Jack
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(Last) (First) (Middle)
c/o MIM Corporation 100 Clearbrook Road
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(Street)
Elmsford NY 10523
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
July 22, 2002
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
MIM CORPORATION (MIMS)
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5. Relationship of Reporting Person to Issuer
(Check all applicable)
[X] Director [ ] 10% Owner
[ ] Officer (give title below) [_] Other (specify below)
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6. If Amendment, Date of Original (Month/Day/Year)
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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 Beneficially Owned
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3. Ownership Form:
2. Amount of Securities Direct (D) or
1. Title of Security Beneficially Owned Indirect (I) 4. Nature of Indirect Beneficial Ownership
(Instr. 4) (Instr. 4) (Instr. 5) (Instr. 4)
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Common Stock, $.0001 par value 125,000 I (1)
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Common Stock, $.0001 par value 5,000 I (2)
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Common Stock, $.0001 par value 2,000 I (3)
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* If the Form is filed by more than one Reporting Person, see Instruction
5(b)(v).
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Print of Type Responses)
(Over)
FORM 3 (continued)
Table II -- Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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5. Owner-
3. Title and Amount of Securities ship
Underlying Derivative Security Form of
2. Date Exercisable (Instr. 4) Derivative
and Expiration Date --------------------------------- 4. Conver- Security:
(Month/Day/Year) Amount sion or Direct 6. Nature of
---------------------- or Exercise (D) or Indirect
Date Expira- Number Price of Indirect Beneficial
1. Title of Derivative Exer- tion of Derivative (I) Ownership
Security (Instr. 4) cisable Date Title Shares Security (Instr. 5) (Instr. 5)
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Option 07/22/03 (4) 07/22/12 Common 20,000 $8.77 D
to purchase Stock
Common Stock
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Explanation of Responses:
(1) Shares are held by Kings Point Partners, L.P., a limited partnership of
which Mr. Salzman is the general partner. Mr. Salzman disclaims beneficial
ownership of these shares.
(2) Shares are held in a trading account at Salzman Capital Management. Mr.
Salzman has a power of attorney with respect to this account and disclaims
beneficial ownership of these shares.
(3) Shares are held by Salzman Capital Management Defined Benefit Plan, of
which Mr. Salzman is the trustee. Mr. Salzman disclaims beneficial
ownership of these shares.
(4) These options vest and become exercisable in three equal annual
installments on the first three anniversaries of the date of grant
(7/22/02).
/s/ Jack Salzman July 31, 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).
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