UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 5
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
( ) Check box if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue. See Instructions 1(b).
( ) Form 3 Holdings Reported
( ) Form 4 Transactions Reported
1. Name and Address of Reporting Person
Conway, James L.
c/o Netsmart Technologies, Inc.
146 Nassau Avenue
Islip, NY 11751
2. Issuer Name and Ticker or Trading Symbol
Netsmart Technologies, Inc.
NTST
3. IRS or Social Security Number of Reporting Person (Voluntary)
4. Statement for Month/Year
December 1999
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
(X) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other
(specify below)
President and CEO
7. Individual or Joint/Group Reporting (Check Applicable Line)
(X) Form filed by One Reporting Person
( ) Form filed by More than One Reporting Person
<TABLE>
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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 |
|Date |Code| | Beneficially |(D)or | |
| | | | A/| | Owned at |Indir | |
| | | Amount | D | Price | End of Year |ect(I)| |
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
Common Stock, par value $.01 | | | | | |54,333 |D | |
per share | | | | | | | | |
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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 |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial |
|cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership |
|ice 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 | | | Amount | |ble | | | |Year |(I)| |
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Nonqualified Stock Optio|$1.50 | | | | |(1) |06/03|Common Stock|20,000 |(1) |20,000 |D | |
n | | | | | | | | | | | | | |
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Nonqualified Stock Optio|$1.00 | | | | |12/98|11/03|Common Stock|50,000 |(1) |50,000 |D | |
n | | | | | | | | | | | | | |
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Series B Warrants |$6.00 |11/99|G |1,000 |D | |12/99|Common Stock|17,333 | |17,333 |D | |
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Series B Warrants |$12.00 |11/99|G |1,000 |D | |12/99|Common Stock|34,000 | |34,0000 |D | |
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Series B Warrants |$6.00 | | | | | |12/99|Common Stock|9,666(2| |9,666 |I |By Wife (2) |
| | | | | | | | |) | | | | |
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Series B Warrants |$12.00 | | | | | |12/99|Common Stock|14,250(| |14,250 |I |By Wife(2) |
| | | | | | | | |2) | | | | |
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Explanation of Responses:
(1) These options were granted pursuant to the Company's 1998 Long Term
Incentive Plan, a 16b-3 plan, and are
exercisable in
installments.
(2) Mr. Conway disclaims beneficial interest in the securities owned by his
wife.
SIGNATURE OF REPORTING PERSON
/s/ James L. Conway
DATE
February 14, 2000
